How much rates vary
Facilitymedian $155 · 10th to 90th $89 to $257Professionalmedian $195 · 10th to 90th $78 to $603
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 $120.23 Median $120.23 Typical High $199.53 | Facility | None | $120.23 | $120.23 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $120.23 Typical High $1,096.48 | Professional | None (both parts) | $75.86 | $120.23 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $47.86 Typical High $537.03 | Professional | 26 · Professional part | $29.51 | $47.86 | $537.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $21.88 | $72.44 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $218.78 Typical High $645.65 | Professional | None (both parts) | $77.62 | $218.78 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $102.33 Typical High $288.40 | Professional | 26 · Professional part | $30.90 | $102.33 | $288.40 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $128.82 Typical High $354.81 | Professional | TC · Technical part | $46.77 | $128.82 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $245.47 Typical High $371.54 | Facility | None | $218.78 | $245.47 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $331.13 | Professional | None (both parts) | $114.82 | $154.88 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $131.83 | Professional | 26 · Professional part | $45.71 | $60.26 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $199.53 | Professional | TC · Technical part | $67.61 | $89.13 | $199.53 |
DeanCare Setting Facility Modifier None Typical Low $74.13 Median $120.23 Typical High $154.88 | Facility | None | $74.13 | $120.23 | $154.88 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $223.87 | Professional | None (both parts) | $144.54 | $181.97 | $223.87 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $144.54 Typical High $169.82 | Facility | None | $74.13 | $144.54 | $169.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $60.26 Median $169.82 Typical High $891.25 | Professional | None (both parts) | $60.26 | $169.82 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $67.61 Typical High $251.19 | Professional | 26 · Professional part | $24.55 | $67.61 | $251.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $102.33 Typical High $724.44 | Professional | TC · Technical part | $24.55 | $102.33 | $724.44 |
Network Health Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $120.23 | Facility | None | $67.61 | $67.61 | $120.23 |
Network Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $158.49 Typical High $323.59 | Professional | None (both parts) | $66.07 | $158.49 | $323.59 |
Prevea360 Setting Facility Modifier None Typical Low $74.13 Median $120.23 Typical High $154.88 | Facility | None | $74.13 | $120.23 | $154.88 |
Quartz Setting Professional Modifier None Typical Low $91.20 Median $194.98 Typical High $354.81 | Professional | None | $91.20 | $194.98 | $354.81 |
Quartz Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $251.19 | Professional | None (both parts) | $114.82 | $114.82 | $251.19 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $112.20 | Professional | 26 · Professional part | $45.71 | $45.71 | $112.20 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $67.61 | $69.18 | $138.04 |
Security Health Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Security Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $512.86 Typical High $616.60 | Professional | None (both parts) | $190.55 | $512.86 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $141.25 Typical High $416.87 | Professional | None (both parts) | $57.54 | $141.25 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $61.66 Typical High $204.17 | Professional | 26 · Professional part | $22.39 | $61.66 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $85.11 Typical High $213.80 | Professional | TC · Technical part | $33.88 | $85.11 | $213.80 |
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 $60.26 Median $60.26 Typical High $549.54 | Professional | 52 · Reduced service | $60.26 | $60.26 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $218.78 | Professional | 53 · Discontinued | $23.99 | $23.99 | $218.78 |
Where Wisconsin sits
The same service costs 5.9 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· 3rd of 51
$195
AK $245TX $41.69
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.