How much rates vary
Facilitymedian $200 · 10th to 90th $151 to $269Professionalmedian $251 · 10th to 90th $81 to $676
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 $190.55 Median $190.55 Typical High $199.53 | Facility | None | $190.55 | $190.55 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $190.55 Typical High $851.14 | Professional | None (both parts) | $131.83 | $190.55 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $39.81 Typical High $891.25 | Professional | 26 · Professional part | $38.90 | $39.81 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $363.08 Typical High $812.83 | Professional | None (both parts) | $114.82 | $363.08 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $144.54 Typical High $295.12 | Professional | 26 · Professional part | $32.36 | $144.54 | $295.12 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $120.23 Typical High $154.88 | Professional | None (both parts) | $34.67 | $120.23 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $338.84 | Facility | None | $199.53 | $223.87 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $229.09 Typical High $524.81 | Professional | None (both parts) | $114.82 | $229.09 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $57.54 Typical High $141.25 | Professional | 26 · Professional part | $33.88 | $57.54 | $141.25 |
DeanCare Setting Facility Modifier None Typical Low $141.25 Median $151.36 Typical High $251.19 | Facility | None | $141.25 | $151.36 | $251.19 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $275.42 | Professional | None (both parts) | $141.25 | $147.91 | $275.42 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $186.21 Typical High $645.65 | Facility | None | $141.25 | $186.21 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $102.33 Median $251.19 Typical High $812.83 | Professional | None (both parts) | $102.33 | $251.19 | $812.83 |
Network Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $354.81 | $489.78 | $489.78 |
Prevea360 Setting Facility Modifier None Typical Low $141.25 Median $151.36 Typical High $251.19 | Facility | None | $141.25 | $151.36 | $251.19 |
Quartz Setting Professional Modifier None Typical Low $40.74 Median $93.33 Typical High $316.23 | Professional | None | $40.74 | $93.33 | $316.23 |
Quartz Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $371.54 | Professional | None (both parts) | $181.97 | $181.97 | $371.54 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $38.02 | $38.02 | $57.54 |
Security Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Security Health Setting Facility Modifier None Typical Low $218.78 Median $239.88 Typical High $269.15 | Facility | None | $218.78 | $239.88 | $269.15 |
Security Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $229.09 Typical High $288.40 | Professional | None (both parts) | $120.23 | $229.09 | $288.40 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $229.09 Typical High $288.40 | Professional | 26 · Professional part | $120.23 | $229.09 | $288.40 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $58.88 Median $104.71 Typical High $281.84 | Professional | None (both parts) | $58.88 | $104.71 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $223.87 Typical High $416.87 | Professional | None (both parts) | $81.28 | $223.87 | $416.87 |
3 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 TC · Technical part Typical Low $54.95 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $54.95 | $151.36 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $144.54 Typical High $218.78 | Professional | TC · Technical part | $61.66 | $144.54 | $218.78 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $218.78 | Professional | TC · Technical part | $144.54 | $144.54 | $218.78 |
Where Wisconsin sits
The same service costs 7.1 times more in Alaska than in Hawaii. 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
$240
AK $389HI $54.95
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.