How much rates vary
Facilitymedian $71 · 10th to 90th $40 to $174Professionalmedian $107 · 10th to 90th $33 to $339
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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $61.66 Typical High $380.19 | Professional | None (both parts) | $47.86 | $61.66 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $251.19 | Professional | 26 · Professional part | $26.92 | $33.88 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $27.54 Typical High $27.54 | Professional | TC · Technical part | $16.98 | $27.54 | $27.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $165.96 Typical High $363.08 | Professional | None (both parts) | $54.95 | $165.96 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $107.15 Typical High $223.87 | Professional | 26 · Professional part | $32.36 | $107.15 | $223.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $70.79 Typical High $138.04 | Professional | TC · Technical part | $19.95 | $70.79 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $147.91 Typical High $229.09 | Facility | None | $70.79 | $147.91 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $39.81 Typical High $154.88 | Professional | None (both parts) | $25.70 | $39.81 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $30.20 Typical High $89.13 | Professional | 26 · Professional part | $14.13 | $30.20 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $19.05 Typical High $72.44 | Professional | TC · Technical part | $9.77 | $19.05 | $72.44 |
DeanCare Setting Facility Modifier None Typical Low $39.81 Median $61.66 Typical High $107.15 | Facility | None | $39.81 | $61.66 | $107.15 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $165.96 | Professional | None (both parts) | $147.91 | $147.91 | $165.96 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $66.07 Typical High $107.15 | Facility | None | $39.81 | $66.07 | $107.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $42.66 Median $165.96 Typical High $338.84 | Professional | None (both parts) | $42.66 | $165.96 | $338.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $102.33 Typical High $251.19 | Professional | 26 · Professional part | $25.12 | $102.33 | $251.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $66.07 Typical High $251.19 | Professional | TC · Technical part | $16.98 | $66.07 | $251.19 |
Network Health Setting Facility Modifier None Typical Low $26.92 Median $30.20 Typical High $87.10 | Facility | None | $26.92 | $30.20 | $87.10 |
Network Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $72.44 Typical High $169.82 | Professional | None (both parts) | $51.29 | $72.44 | $169.82 |
Prevea360 Setting Facility Modifier None Typical Low $39.81 Median $61.66 Typical High $107.15 | Facility | None | $39.81 | $61.66 | $107.15 |
Quartz Setting Professional Modifier None Typical Low $58.88 Median $123.03 Typical High $169.82 | Professional | None | $58.88 | $123.03 | $169.82 |
Quartz Setting Professional Modifier None (both parts) Typical Low $25.70 Median $26.30 Typical High $95.50 | Professional | None (both parts) | $25.70 | $26.30 | $95.50 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $58.88 | Professional | 26 · Professional part | $14.13 | $15.85 | $58.88 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $11.48 Typical High $43.65 | Professional | TC · Technical part | $9.33 | $11.48 | $43.65 |
Security Health Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $112.20 | Professional | None | $107.15 | $107.15 | $112.20 |
Security Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $208.93 Typical High $371.54 | Professional | None (both parts) | $107.15 | $208.93 | $371.54 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $114.82 | Professional | 26 · Professional part | $61.66 | $61.66 | $114.82 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $14.79 Typical High $64.57 | Professional | TC · Technical part | $14.79 | $14.79 | $64.57 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $223.87 | Professional | None (both parts) | $204.17 | $204.17 | $223.87 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $144.54 Typical High $204.17 | Professional | 26 · Professional part | $53.70 | $144.54 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $53.70 Typical High $194.98 | Professional | None (both parts) | $34.67 | $53.70 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $31.62 Typical High $120.23 | Professional | 26 · Professional part | $19.95 | $31.62 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $21.88 Typical High $75.86 | Professional | TC · Technical part | $12.59 | $21.88 | $75.86 |
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 $30.90 Median $30.90 Typical High $190.55 | Professional | 52 · Reduced service | $30.90 | $30.90 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $77.62 | Professional | 53 · Discontinued | $12.30 | $12.30 | $77.62 |
Where Wisconsin sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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
$102
AK $141LA $30.20
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.