How much rates vary
Facilitymedian $76 · 10th to 90th $31 to $166Professionalmedian $74 · 10th to 90th $25 to $214
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 $37.15 Median $37.15 Typical High $46.77 | Facility | None | $37.15 | $37.15 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $380.19 | Professional | None (both parts) | $37.15 | $37.15 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.41 Typical High $117.49 | Professional | 26 · Professional part | $6.61 | $7.41 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $43.65 | Professional | TC · Technical part | $23.99 | $29.51 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $109.65 Typical High $208.93 | Professional | None (both parts) | $31.62 | $109.65 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $23.44 Typical High $51.29 | Professional | 26 · Professional part | $7.59 | $23.44 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $23.99 | $97.72 | $158.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.17 Median $24.55 Typical High $33.88 | Professional | None (both parts) | $6.17 | $24.55 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $89.13 Typical High $138.04 | Facility | None | $75.86 | $89.13 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $30.20 Typical High $95.50 | Professional | None (both parts) | $15.49 | $30.20 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.09 Median $6.92 Typical High $19.50 | Professional | 26 · Professional part | $3.09 | $6.92 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $24.55 Typical High $77.62 | Professional | TC · Technical part | $12.30 | $24.55 | $77.62 |
DeanCare Setting Facility Modifier None Typical Low $23.44 Median $37.15 Typical High $64.57 | Facility | None | $23.44 | $37.15 | $64.57 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $100.00 | Professional | None (both parts) | $89.13 | $89.13 | $100.00 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $100.00 Typical High $177.83 | Facility | None | $30.90 | $100.00 | $177.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $28.84 Median $95.50 Typical High $263.03 | Professional | None (both parts) | $28.84 | $95.50 | $263.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $26.92 Typical High $144.54 | Professional | 26 · Professional part | $6.17 | $26.92 | $144.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $81.28 Typical High $223.87 | Professional | TC · Technical part | $21.88 | $81.28 | $223.87 |
Network Health Setting Facility Modifier None Typical Low $26.92 Median $30.20 Typical High $61.66 | Facility | None | $26.92 | $30.20 | $61.66 |
Network Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $67.61 Typical High $100.00 | Professional | None (both parts) | $41.69 | $67.61 | $100.00 |
Prevea360 Setting Facility Modifier None Typical Low $23.44 Median $37.15 Typical High $64.57 | Facility | None | $23.44 | $37.15 | $64.57 |
Quartz Setting Professional Modifier None Typical Low $36.31 Median $75.86 Typical High $112.20 | Professional | None | $36.31 | $75.86 | $112.20 |
Quartz Setting Professional Modifier None (both parts) Typical Low $15.49 Median $16.60 Typical High $77.62 | Professional | None (both parts) | $15.49 | $16.60 | $77.62 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $3.09 Median $3.63 Typical High $14.13 | Professional | 26 · Professional part | $3.09 | $3.63 | $14.13 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $13.18 Typical High $60.26 | Professional | TC · Technical part | $12.30 | $13.18 | $60.26 |
Security Health Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | None | $64.57 | $64.57 | $74.13 |
Security Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $74.13 | $147.91 | $208.93 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $72.44 Typical High $79.43 | Professional | 26 · Professional part | $20.89 | $72.44 | $79.43 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $79.43 | Professional | TC · Technical part | $18.62 | $18.62 | $79.43 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $57.54 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $57.54 | $138.04 | $208.93 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $33.11 Typical High $44.67 | Professional | 26 · Professional part | $12.30 | $33.11 | $44.67 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $22.39 Median $43.65 Typical High $112.20 | Professional | None (both parts) | $22.39 | $43.65 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $4.57 Median $7.08 Typical High $26.92 | Professional | 26 · Professional part | $4.57 | $7.08 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $33.88 Typical High $85.11 | Professional | TC · Technical part | $17.78 | $33.88 | $85.11 |
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 $18.62 Median $18.62 Typical High $190.55 | Professional | 52 · Reduced service | $18.62 | $18.62 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $77.62 | Professional | 53 · Discontinued | $7.41 | $7.41 | $77.62 |
Where Wisconsin sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 4th of 51
$74.13
AK $123AR $28.18
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.