How much rates vary
Facilitymedian $200 · 10th to 90th $107 to $302Professionalmedian $257 · 10th to 90th $98 to $759
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 $144.54 Median $144.54 Typical High $199.53 | Facility | None | $144.54 | $144.54 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $1,445.44 | Professional | None (both parts) | $123.03 | $144.54 | $1,445.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $102.33 Typical High $1,258.93 | Professional | 26 · Professional part | $66.07 | $102.33 | $1,258.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $41.69 Typical High $56.23 | Professional | TC · Technical part | $36.31 | $41.69 | $56.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $363.08 Typical High $758.58 | Professional | None (both parts) | $91.20 | $363.08 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $263.03 Typical High $562.34 | Professional | 26 · Professional part | $64.57 | $263.03 | $562.34 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $104.71 Typical High $218.78 | Professional | TC · Technical part | $25.70 | $104.71 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $295.12 Typical High $436.52 | Facility | None | $257.04 | $295.12 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $208.93 Typical High $426.58 | Professional | None (both parts) | $138.04 | $208.93 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $128.82 Typical High $316.23 | Professional | 26 · Professional part | $97.72 | $128.82 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $61.66 Typical High $154.88 | Professional | TC · Technical part | $39.81 | $61.66 | $154.88 |
DeanCare Setting Facility Modifier None Typical Low $89.13 Median $141.25 Typical High $302.00 | Facility | None | $89.13 | $141.25 | $302.00 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $269.15 | Professional | None (both parts) | $173.78 | $234.42 | $269.15 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $177.83 Typical High $302.00 | Facility | None | $89.13 | $177.83 | $302.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $245.47 Typical High $1,737.80 | Professional | None (both parts) | $107.15 | $245.47 | $1,737.80 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $173.78 Typical High $501.19 | Professional | 26 · Professional part | $72.44 | $173.78 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $74.13 Typical High $1,412.54 | Professional | TC · Technical part | $27.54 | $74.13 | $1,412.54 |
Network Health Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $181.97 | Facility | None | $138.04 | $138.04 | $181.97 |
Network Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $199.53 Typical High $380.19 | Professional | None (both parts) | $144.54 | $199.53 | $380.19 |
Prevea360 Setting Facility Modifier None Typical Low $89.13 Median $141.25 Typical High $302.00 | Facility | None | $89.13 | $141.25 | $302.00 |
Quartz Setting Professional Modifier None Typical Low $107.15 Median $245.47 Typical High $416.87 | Professional | None | $107.15 | $245.47 | $416.87 |
Quartz Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $354.81 | Professional | None (both parts) | $138.04 | $138.04 | $354.81 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $257.04 | Professional | 26 · Professional part | $97.72 | $97.72 | $257.04 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $114.82 | Professional | TC · Technical part | $39.81 | $39.81 | $114.82 |
Security Health Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Security Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $588.84 Typical High $707.95 | Professional | None (both parts) | $263.03 | $588.84 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $234.42 Typical High $549.54 | Professional | None (both parts) | $95.50 | $234.42 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $138.04 Typical High $398.11 | Professional | 26 · Professional part | $67.61 | $138.04 | $398.11 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $64.57 Typical High $141.25 | Professional | TC · Technical part | $26.30 | $64.57 | $141.25 |
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 $72.44 Median $72.44 Typical High $724.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $295.12 | Professional | 53 · Discontinued | $28.84 | $28.84 | $295.12 |
Where Wisconsin sits
The same service costs 5.2 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
$257
AK $309TX $58.88
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.