How much rates vary
Facilitymedian $204 · 10th to 90th $115 to $501Professionalmedian $263 · 10th to 90th $79 to $851
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $707.95 | Professional | None (both parts) | $177.83 | $177.83 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $213.80 | Professional | 26 · Professional part | $41.69 | $41.69 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $112.20 | $138.04 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $436.52 Typical High $812.83 | Professional | None (both parts) | $134.90 | $436.52 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $134.90 Typical High $269.15 | Professional | 26 · Professional part | $40.74 | $134.90 | $269.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $323.59 Typical High $549.54 | Professional | TC · Technical part | $95.50 | $323.59 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $436.52 Typical High $676.08 | Facility | None | $354.81 | $436.52 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $89.13 Typical High $478.63 | Professional | None (both parts) | $67.61 | $89.13 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $38.02 Typical High $112.20 | Professional | 26 · Professional part | $17.38 | $38.02 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $112.20 Typical High $380.19 | Professional | TC · Technical part | $45.71 | $112.20 | $380.19 |
DeanCare Setting Facility Modifier None Typical Low $114.82 Median $177.83 Typical High $316.23 | Facility | None | $114.82 | $177.83 | $316.23 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $478.63 | Professional | None (both parts) | $436.52 | $436.52 | $478.63 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $154.88 Typical High $288.40 | Facility | None | $114.82 | $154.88 | $288.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $407.38 Typical High $1,348.96 | Professional | None (both parts) | $107.15 | $407.38 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $128.82 Typical High $269.15 | Professional | 26 · Professional part | $31.62 | $128.82 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $281.84 Typical High $1,096.48 | Professional | TC · Technical part | $72.44 | $281.84 | $1,096.48 |
Network Health Setting Facility Modifier None Typical Low $53.70 Median $60.26 Typical High $218.78 | Facility | None | $53.70 | $60.26 | $218.78 |
Network Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $489.78 | Professional | None (both parts) | $131.83 | $165.96 | $489.78 |
Prevea360 Setting Facility Modifier None Typical Low $114.82 Median $177.83 Typical High $316.23 | Facility | None | $114.82 | $177.83 | $316.23 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $338.84 Typical High $478.63 | Professional | None | $165.96 | $338.84 | $478.63 |
Quartz Setting Professional Modifier None (both parts) Typical Low $66.07 Median $74.13 Typical High $288.40 | Professional | None (both parts) | $66.07 | $74.13 | $288.40 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $75.86 | Professional | 26 · Professional part | $17.38 | $19.95 | $75.86 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $57.54 Typical High $223.87 | Professional | TC · Technical part | $43.65 | $57.54 | $223.87 |
Security Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $302.00 | Professional | None | $173.78 | $173.78 | $302.00 |
Security Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $741.31 Typical High $933.25 | Professional | None (both parts) | $173.78 | $741.31 | $933.25 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $134.90 | Professional | 26 · Professional part | $28.84 | $28.84 | $134.90 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $316.23 | Professional | TC · Technical part | $58.88 | $58.88 | $316.23 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $134.90 Typical High $478.63 | Professional | None (both parts) | $85.11 | $134.90 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $39.81 Typical High $147.91 | Professional | 26 · Professional part | $25.12 | $39.81 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $331.13 | Professional | TC · Technical part | $60.26 | $93.33 | $331.13 |
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 $89.13 Median $89.13 Typical High $354.81 | Professional | 52 · Reduced service | $89.13 | $89.13 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $141.25 | Professional | 53 · Discontinued | $35.48 | $35.48 | $141.25 |
Where Wisconsin sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 5th of 51
$251
AK $331AL $57.54
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.