How much rates vary
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 $120.23 Median $120.23 Typical High $812.83 | Professional | None (both parts) | $120.23 | $120.23 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $346.74 | Professional | 26 · Professional part | $39.81 | $39.81 | $346.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $66.07 | $79.43 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $316.23 Typical High $691.83 | Professional | None (both parts) | $75.86 | $316.23 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $107.15 Typical High $234.42 | Professional | 26 · Professional part | $25.70 | $107.15 | $234.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $208.93 Typical High $467.74 | Professional | TC · Technical part | $50.12 | $208.93 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $245.47 Typical High $363.08 | Facility | None | $213.80 | $245.47 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $114.82 | $281.84 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $93.33 Typical High $147.91 | Professional | 26 · Professional part | $38.02 | $93.33 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $186.21 Typical High $295.12 | Professional | TC · Technical part | $75.86 | $186.21 | $295.12 |
DeanCare Setting Facility Modifier None Typical Low $69.18 Median $87.10 Typical High $162.18 | Facility | None | $69.18 | $87.10 | $162.18 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $158.49 | $181.97 | $218.78 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $87.10 Typical High $162.18 | Facility | None | $69.18 | $87.10 | $162.18 |
Medica Setting Professional Modifier None (both parts) Typical Low $95.50 Median $213.80 Typical High $512.86 | Professional | None (both parts) | $95.50 | $213.80 | $512.86 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $75.86 Typical High $169.82 | Professional | 26 · Professional part | $32.36 | $75.86 | $169.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $144.54 Typical High $338.84 | Professional | TC · Technical part | $58.88 | $144.54 | $338.84 |
Network Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $169.82 | Facility | None | $123.03 | $123.03 | $169.82 |
Network Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $114.82 | $186.21 | $302.00 |
Prevea360 Setting Facility Modifier None Typical Low $69.18 Median $87.10 Typical High $162.18 | Facility | None | $69.18 | $87.10 | $162.18 |
Quartz Setting Professional Modifier None Typical Low $87.10 Median $186.21 Typical High $338.84 | Professional | None | $87.10 | $186.21 | $338.84 |
Quartz Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $295.12 | Professional | None (both parts) | $114.82 | $114.82 | $295.12 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $100.00 | Professional | 26 · Professional part | $38.02 | $38.02 | $100.00 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $194.98 | Professional | TC · Technical part | $75.86 | $75.86 | $194.98 |
Security Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Security Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $489.78 Typical High $645.65 | Professional | None (both parts) | $218.78 | $489.78 | $645.65 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $173.78 Typical High $218.78 | Professional | 26 · Professional part | $77.62 | $173.78 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $218.78 Typical High $588.84 | Professional | None (both parts) | $87.10 | $218.78 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $74.13 Typical High $194.98 | Professional | 26 · Professional part | $30.20 | $74.13 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $144.54 Typical High $398.11 | Professional | TC · Technical part | $57.54 | $144.54 | $398.11 |
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 $58.88 Median $58.88 Typical High $407.38 | Professional | 52 · Reduced service | $58.88 | $58.88 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $162.18 | Professional | 53 · Discontinued | $23.99 | $23.99 | $162.18 |
Where Wisconsin sits
The same service costs 4.6 times more in Alaska than in Florida. 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
$245
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.