How much rates vary
Facilitymedian $85 · 10th to 90th $47 to $200Professionalmedian $141 · 10th to 90th $46 to $380
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 $63.10 Median $63.10 Typical High $199.53 | Facility | None | $63.10 | $63.10 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $776.25 | Professional | None (both parts) | $63.10 | $63.10 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $537.03 | Professional | 26 · Professional part | $34.67 | $34.67 | $537.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $28.18 | $28.18 | $28.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $169.82 Typical High $363.08 | Professional | None (both parts) | $40.74 | $169.82 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $95.50 Typical High $204.17 | Professional | 26 · Professional part | $22.39 | $95.50 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $74.13 Typical High $158.49 | Professional | TC · Technical part | $17.78 | $74.13 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $125.89 Typical High $186.21 | Facility | None | $109.65 | $125.89 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $151.36 Typical High $239.88 | Professional | None (both parts) | $60.26 | $151.36 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $83.18 Typical High $131.83 | Professional | 26 · Professional part | $33.11 | $83.18 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $67.61 Typical High $107.15 | Professional | TC · Technical part | $26.92 | $67.61 | $107.15 |
DeanCare Setting Facility Modifier None Typical Low $37.15 Median $46.77 Typical High $85.11 | Facility | None | $37.15 | $46.77 | $85.11 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $83.18 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $83.18 | $97.72 | $117.49 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $46.77 Typical High $85.11 | Facility | None | $37.15 | $46.77 | $85.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $51.29 Median $144.54 Typical High $1,148.15 | Professional | None (both parts) | $51.29 | $144.54 | $1,148.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $64.57 Typical High $169.82 | Professional | 26 · Professional part | $28.84 | $64.57 | $169.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $69.18 Typical High $1,023.29 | Professional | TC · Technical part | $21.88 | $69.18 | $1,023.29 |
Network Health Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $91.20 | Facility | None | $63.10 | $63.10 | $91.20 |
Network Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $60.26 | $107.15 | $158.49 |
Prevea360 Setting Facility Modifier None Typical Low $37.15 Median $46.77 Typical High $85.11 | Facility | None | $37.15 | $46.77 | $85.11 |
Quartz Setting Professional Modifier None Typical Low $46.77 Median $107.15 Typical High $199.53 | Professional | None | $46.77 | $107.15 | $199.53 |
Quartz Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $158.49 | Professional | None (both parts) | $60.26 | $60.26 | $158.49 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $89.13 | Professional | 26 · Professional part | $33.11 | $33.11 | $89.13 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $69.18 | Professional | TC · Technical part | $26.92 | $26.92 | $69.18 |
Security Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Security Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $263.03 Typical High $331.13 | Professional | None (both parts) | $114.82 | $263.03 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $128.82 Typical High $309.03 | Professional | None (both parts) | $45.71 | $128.82 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $64.57 Typical High $169.82 | Professional | 26 · Professional part | $26.30 | $64.57 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $58.88 Typical High $138.04 | Professional | TC · Technical part | $19.50 | $58.88 | $138.04 |
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 $31.62 Median $31.62 Typical High $380.19 | Professional | 52 · Reduced service | $31.62 | $31.62 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $154.88 | Professional | 53 · Discontinued | $12.59 | $12.59 | $154.88 |
Where Wisconsin sits
The same service costs 7.2 times more in Alabama 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
$135
AL $251FL $34.67
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.