How much rates vary
Facilitymedian $145 · 10th to 90th $74 to $214Professionalmedian $229 · 10th to 90th $78 to $550
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 $100.00 Median $100.00 Typical High $199.53 | Facility | None | $100.00 | $100.00 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $602.56 | Professional | None (both parts) | $100.00 | $100.00 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $83.18 | Professional | 26 · Professional part | $11.48 | $11.48 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $87.10 | $87.10 | $87.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $275.42 Typical High $602.56 | Professional | None (both parts) | $66.07 | $275.42 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $29.51 Typical High $64.57 | Professional | 26 · Professional part | $7.08 | $29.51 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $245.47 Typical High $549.54 | Professional | TC · Technical part | $58.88 | $245.47 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $204.17 Typical High $309.03 | Facility | None | $181.97 | $204.17 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $95.50 | $245.47 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $26.92 Typical High $42.66 | Professional | 26 · Professional part | $10.96 | $26.92 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $218.78 Typical High $346.74 | Professional | TC · Technical part | $83.18 | $218.78 | $346.74 |
DeanCare Setting Facility Modifier None Typical Low $58.88 Median $74.13 Typical High $144.54 | Facility | None | $58.88 | $74.13 | $144.54 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $204.17 | Professional | None (both parts) | $131.83 | $154.88 | $204.17 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $74.13 Typical High $144.54 | Facility | None | $58.88 | $74.13 | $144.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $81.28 Median $194.98 Typical High $501.19 | Professional | None (both parts) | $81.28 | $194.98 | $501.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $21.88 Typical High $75.86 | Professional | 26 · Professional part | $8.91 | $21.88 | $75.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $177.83 Typical High $416.87 | Professional | TC · Technical part | $72.44 | $177.83 | $416.87 |
Network Health Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $134.90 | Facility | None | $114.82 | $114.82 | $134.90 |
Network Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $107.15 | $158.49 | $275.42 |
Prevea360 Setting Facility Modifier None Typical Low $58.88 Median $74.13 Typical High $144.54 | Facility | None | $58.88 | $74.13 | $144.54 |
Quartz Setting Professional Modifier None Typical Low $81.28 Median $186.21 Typical High $302.00 | Professional | None | $81.28 | $186.21 | $302.00 |
Quartz Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $257.04 | Professional | None (both parts) | $95.50 | $95.50 | $257.04 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $27.54 | Professional | 26 · Professional part | $10.96 | $10.96 | $27.54 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $229.09 | Professional | TC · Technical part | $83.18 | $83.18 | $229.09 |
Security Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Security Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $426.58 Typical High $602.56 | Professional | None (both parts) | $186.21 | $426.58 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $199.53 Typical High $549.54 | Professional | None (both parts) | $77.62 | $199.53 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $21.38 Typical High $56.23 | Professional | 26 · Professional part | $8.32 | $21.38 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $177.83 Typical High $501.19 | Professional | TC · Technical part | $70.79 | $177.83 | $501.19 |
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 $50.12 Median $50.12 Typical High $302.00 | Professional | 52 · Reduced service | $50.12 | $50.12 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $120.23 | Professional | 53 · Discontinued | $19.95 | $19.95 | $120.23 |
Where Wisconsin sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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
$219
AK $275KY $60.26
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.