How much rates vary
Facilitymedian $513 · 10th to 90th $269 to $912Professionalmedian $501 · 10th to 90th $214 to $1,820
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 $323.59 Median $323.59 Typical High $398.11 | Facility | None | $323.59 | $323.59 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $323.59 Typical High $1,445.44 | Professional | None (both parts) | $263.03 | $323.59 | $1,445.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $724.44 | Professional | 26 · Professional part | $75.86 | $89.13 | $724.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $229.09 Typical High $234.42 | Professional | TC · Technical part | $151.36 | $229.09 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $954.99 Typical High $1,819.70 | Professional | None (both parts) | $275.42 | $954.99 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $288.40 Typical High $602.56 | Professional | 26 · Professional part | $87.10 | $288.40 | $602.56 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $707.95 Typical High $1,230.27 | Professional | TC · Technical part | $186.21 | $707.95 | $1,230.27 |
CareSource Setting Professional Modifier None (both parts) Typical Low $74.13 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $74.13 | $190.55 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $794.33 Typical High $1,202.26 | Facility | None | $602.56 | $794.33 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $213.80 Typical High $831.76 | Professional | None (both parts) | $134.90 | $213.80 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $81.28 Typical High $239.88 | Professional | 26 · Professional part | $37.15 | $81.28 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $194.98 Typical High $616.60 | Professional | TC · Technical part | $95.50 | $194.98 | $616.60 |
DeanCare Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $562.34 | Facility | None | $208.93 | $323.59 | $562.34 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $870.96 | Professional | None (both parts) | $776.25 | $776.25 | $870.96 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $478.63 Typical High $645.65 | Facility | None | $208.93 | $478.63 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $831.76 Typical High $1,819.70 | Professional | None (both parts) | $213.80 | $831.76 | $1,819.70 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $316.23 Typical High $512.86 | Professional | 26 · Professional part | $75.86 | $316.23 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $549.54 Typical High $1,318.26 | Professional | TC · Technical part | $144.54 | $549.54 | $1,318.26 |
Network Health Setting Facility Modifier None Typical Low $346.74 Median $389.05 Typical High $602.56 | Facility | None | $346.74 | $389.05 | $602.56 |
Network Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $363.08 Typical High $891.25 | Professional | None (both parts) | $288.40 | $363.08 | $891.25 |
Prevea360 Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $562.34 | Facility | None | $208.93 | $323.59 | $562.34 |
Quartz Setting Professional Modifier None Typical Low $309.03 Median $630.96 Typical High $870.96 | Professional | None | $309.03 | $630.96 | $870.96 |
Quartz Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $501.19 | Professional | None (both parts) | $134.90 | $134.90 | $501.19 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $158.49 | Professional | 26 · Professional part | $37.15 | $42.66 | $158.49 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $95.50 Typical High $363.08 | Professional | TC · Technical part | $89.13 | $95.50 | $363.08 |
Security Health Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $588.84 | Professional | None | $234.42 | $234.42 | $588.84 |
Security Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $1,479.11 Typical High $1,905.46 | Professional | None (both parts) | $234.42 | $1,479.11 | $1,905.46 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $346.74 | Professional | 26 · Professional part | $134.90 | $134.90 | $346.74 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $128.82 Typical High $616.60 | Professional | TC · Technical part | $87.10 | $128.82 | $616.60 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $489.78 Median $1,174.90 Typical High $1,905.46 | Professional | None (both parts) | $489.78 | $1,174.90 | $1,905.46 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $323.59 Typical High $426.58 | Professional | 26 · Professional part | $141.25 | $323.59 | $426.58 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $275.42 Typical High $954.99 | Professional | None (both parts) | $173.78 | $275.42 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $85.11 Typical High $316.23 | Professional | 26 · Professional part | $53.70 | $85.11 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $186.21 Typical High $645.65 | Professional | TC · Technical part | $120.23 | $186.21 | $645.65 |
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 $158.49 Median $158.49 Typical High $724.44 | Professional | 52 · Reduced service | $158.49 | $158.49 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $288.40 | Professional | 53 · Discontinued | $64.57 | $64.57 | $288.40 |
Where Wisconsin sits
The same service costs 4.2 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· 4th of 51
$501
AK $575AL $138
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.