How much rates vary
Facilitymedian $219 · 10th to 90th $123 to $347Professionalmedian $316 · 10th to 90th $123 to $891
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $199.53 Median $204.17 Typical High $204.17 | Facility | None | $199.53 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $204.17 Typical High $1,584.89 | Professional | None (both parts) | $141.25 | $204.17 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $102.33 Typical High $954.99 | Professional | 26 · Professional part | $58.88 | $102.33 | $954.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $69.18 | $102.33 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $436.52 Typical High $912.01 | Professional | None (both parts) | $109.65 | $436.52 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $213.80 Typical High $436.52 | Professional | 26 · Professional part | $53.70 | $213.80 | $436.52 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $223.87 Typical High $478.63 | Professional | TC · Technical part | $56.23 | $223.87 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $338.84 Typical High $501.19 | Facility | None | $295.12 | $338.84 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $602.56 | Professional | None (both parts) | $158.49 | $208.93 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $275.42 | Professional | 26 · Professional part | $79.43 | $102.33 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $123.03 Typical High $323.59 | Professional | TC · Technical part | $79.43 | $123.03 | $323.59 |
DeanCare Setting Facility Modifier None Typical Low $109.65 Median $213.80 Typical High $288.40 | Facility | None | $109.65 | $213.80 | $288.40 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $309.03 | Professional | None (both parts) | $199.53 | $275.42 | $309.03 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $218.78 Typical High $288.40 | Facility | None | $109.65 | $218.78 | $288.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $131.83 Median $275.42 Typical High $1,548.82 | Professional | None (both parts) | $131.83 | $275.42 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $134.90 Typical High $691.83 | Professional | 26 · Professional part | $60.26 | $134.90 | $691.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $158.49 Typical High $1,230.27 | Professional | TC · Technical part | $66.07 | $158.49 | $1,230.27 |
Network Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $257.04 | Facility | None | $177.83 | $177.83 | $257.04 |
Network Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $446.68 | Professional | None (both parts) | $165.96 | $263.03 | $446.68 |
Prevea360 Setting Facility Modifier None Typical Low $109.65 Median $213.80 Typical High $288.40 | Facility | None | $109.65 | $213.80 | $288.40 |
Quartz Setting Professional Modifier None Typical Low $125.89 Median $288.40 Typical High $537.03 | Professional | None | $125.89 | $288.40 | $537.03 |
Quartz Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $426.58 | Professional | None (both parts) | $158.49 | $158.49 | $426.58 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $208.93 | Professional | 26 · Professional part | $79.43 | $79.43 | $208.93 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $218.78 | Professional | TC · Technical part | $79.43 | $79.43 | $218.78 |
Security Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $707.95 Typical High $891.25 | Professional | None (both parts) | $295.12 | $707.95 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $275.42 Typical High $645.65 | Professional | None (both parts) | $117.49 | $275.42 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $120.23 Typical High $309.03 | Professional | 26 · Professional part | $54.95 | $120.23 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $138.04 Typical High $331.13 | Professional | TC · Technical part | $61.66 | $138.04 | $331.13 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $794.33 | Professional | 52 · Reduced service | $102.33 | $102.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $316.23 | Professional | 53 · Discontinued | $40.74 | $40.74 | $316.23 |
Where Wisconsin sits
The same service costs 5.6 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 2nd of 51
$309
AK $447TX $79.43
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.