How much rates vary
Facilitymedian $158 · 10th to 90th $81 to $347Professionalmedian $200 · 10th to 90th $65 to $676
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 $125.89 Median $125.89 Typical High $158.49 | Facility | None | $125.89 | $125.89 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $575.44 | Professional | None (both parts) | $109.65 | $125.89 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $234.42 | Professional | 26 · Professional part | $23.99 | $29.51 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $120.23 | Professional | TC · Technical part | $72.44 | $95.50 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $354.81 Typical High $676.08 | Professional | None (both parts) | $102.33 | $354.81 | $676.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $93.33 Typical High $194.98 | Professional | 26 · Professional part | $27.54 | $93.33 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $257.04 Typical High $478.63 | Professional | TC · Technical part | $74.13 | $257.04 | $478.63 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.99 Median $79.43 Typical High $114.82 | Professional | None (both parts) | $23.99 | $79.43 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $309.03 Typical High $467.74 | Facility | None | $245.47 | $309.03 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $83.18 Typical High $323.59 | Professional | None (both parts) | $50.12 | $83.18 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $26.30 Typical High $77.62 | Professional | 26 · Professional part | $12.30 | $26.30 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $81.28 Typical High $257.04 | Professional | TC · Technical part | $38.90 | $81.28 | $257.04 |
DeanCare Setting Facility Modifier None Typical Low $81.28 Median $125.89 Typical High $218.78 | Facility | None | $81.28 | $125.89 | $218.78 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $338.84 | Professional | None (both parts) | $302.00 | $302.00 | $338.84 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $138.04 Typical High $281.84 | Facility | None | $44.67 | $138.04 | $281.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $81.28 Median $302.00 Typical High $707.95 | Professional | None (both parts) | $81.28 | $302.00 | $707.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $24.55 | $89.13 | $162.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $245.47 Typical High $549.54 | Professional | TC · Technical part | $61.66 | $245.47 | $549.54 |
Network Health Setting Facility Modifier None Typical Low $53.70 Median $60.26 Typical High $194.98 | Facility | None | $53.70 | $60.26 | $194.98 |
Network Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $346.74 | Professional | None (both parts) | $114.82 | $134.90 | $346.74 |
Prevea360 Setting Facility Modifier None Typical Low $81.28 Median $125.89 Typical High $218.78 | Facility | None | $81.28 | $125.89 | $218.78 |
Quartz Setting Professional Modifier None Typical Low $120.23 Median $251.19 Typical High $346.74 | Professional | None | $120.23 | $251.19 | $346.74 |
Quartz Setting Professional Modifier None (both parts) Typical Low $50.12 Median $52.48 Typical High $194.98 | Professional | None (both parts) | $50.12 | $52.48 | $194.98 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.13 Typical High $54.95 | Professional | 26 · Professional part | $12.30 | $14.13 | $54.95 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $39.81 Typical High $151.36 | Professional | TC · Technical part | $36.31 | $39.81 | $151.36 |
Security Health Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $229.09 | Professional | None | $83.18 | $83.18 | $229.09 |
Security Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $467.74 Typical High $741.31 | Professional | None (both parts) | $83.18 | $467.74 | $741.31 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $100.00 | Professional | 26 · Professional part | $13.18 | $13.18 | $100.00 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $245.47 | Professional | TC · Technical part | $28.18 | $28.18 | $245.47 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $194.98 Median $467.74 Typical High $741.31 | Professional | None (both parts) | $194.98 | $467.74 | $741.31 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $112.20 Typical High $169.82 | Professional | 26 · Professional part | $46.77 | $112.20 | $169.82 |
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 $66.07 Median $104.71 Typical High $354.81 | Professional | None (both parts) | $66.07 | $104.71 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $26.92 Typical High $102.33 | Professional | 26 · Professional part | $17.38 | $26.92 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $75.86 Typical High $251.19 | Professional | TC · Technical part | $48.98 | $75.86 | $251.19 |
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 $61.66 Median $61.66 Typical High $281.84 | Professional | 52 · Reduced service | $61.66 | $61.66 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $114.82 | Professional | 53 · Discontinued | $25.12 | $25.12 | $114.82 |
Where Wisconsin sits
The same service costs 5.5 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· 3rd of 51
$195
AK $269AL $48.98
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.