How much rates vary
Facilitymedian $389 · 10th to 90th $195 to $676Professionalmedian $347 · 10th to 90th $91 to $1,072
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 $194.98 Median $194.98 Typical High $251.19 | Facility | None | $194.98 | $194.98 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $194.98 Typical High $1,548.82 | Professional | None (both parts) | $151.36 | $194.98 | $1,548.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $338.84 | Professional | 26 · Professional part | $38.02 | $42.66 | $338.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $151.36 Typical High $218.78 | Professional | TC · Technical part | $100.00 | $151.36 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $602.56 Typical High $1,174.90 | Professional | None (both parts) | $70.79 | $602.56 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $134.90 Typical High $281.84 | Professional | 26 · Professional part | $16.60 | $134.90 | $281.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $467.74 Typical High $891.25 | Professional | TC · Technical part | $54.95 | $467.74 | $891.25 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $125.89 Typical High $177.83 | Professional | None (both parts) | $34.67 | $125.89 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $478.63 Typical High $724.44 | Facility | None | $389.05 | $478.63 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $501.19 | Professional | None (both parts) | $79.43 | $112.20 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $38.90 Typical High $112.20 | Professional | 26 · Professional part | $17.78 | $38.90 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $128.82 Typical High $398.11 | Professional | TC · Technical part | $63.10 | $128.82 | $398.11 |
DeanCare Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $338.84 | Facility | None | $120.23 | $194.98 | $338.84 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | None (both parts) | $467.74 | $467.74 | $524.81 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $323.59 Typical High $912.01 | Facility | None | $162.18 | $323.59 | $912.01 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $549.54 Typical High $1,071.52 | Professional | None (both parts) | $125.89 | $549.54 | $1,071.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $128.82 Typical High $234.42 | Professional | 26 · Professional part | $31.62 | $128.82 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $416.87 Typical High $851.14 | Professional | TC · Technical part | $89.13 | $416.87 | $851.14 |
Network Health Setting Facility Modifier None Typical Low $263.03 Median $389.05 Typical High $389.05 | Facility | None | $263.03 | $389.05 | $389.05 |
Network Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $257.04 Typical High $512.86 | Professional | None (both parts) | $162.18 | $257.04 | $512.86 |
Prevea360 Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $338.84 | Facility | None | $120.23 | $194.98 | $338.84 |
Quartz Setting Professional Modifier None Typical Low $190.55 Median $398.11 Typical High $549.54 | Professional | None | $190.55 | $398.11 | $549.54 |
Quartz Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $309.03 | Professional | None (both parts) | $79.43 | $81.28 | $309.03 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.50 Typical High $85.11 | Professional | 26 · Professional part | $17.78 | $19.50 | $85.11 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $63.10 Typical High $245.47 | Professional | TC · Technical part | $61.66 | $63.10 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $346.74 | Professional | None | $125.89 | $125.89 | $346.74 |
Security Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $891.25 Typical High $1,174.90 | Professional | None (both parts) | $125.89 | $891.25 | $1,174.90 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $128.82 | Professional | 26 · Professional part | $30.20 | $30.20 | $128.82 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $416.87 | Professional | TC · Technical part | $95.50 | $95.50 | $416.87 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $309.03 Median $870.96 Typical High $1,122.02 | Professional | None (both parts) | $309.03 | $870.96 | $1,122.02 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $162.18 Typical High $257.04 | Professional | 26 · Professional part | $66.07 | $162.18 | $257.04 |
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 $104.71 Median $165.96 Typical High $630.96 | Professional | None (both parts) | $104.71 | $165.96 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.90 Typical High $147.91 | Professional | 26 · Professional part | $25.12 | $38.90 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $128.82 Typical High $489.78 | Professional | TC · Technical part | $74.13 | $128.82 | $489.78 |
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 $95.50 Median $95.50 Typical High $776.25 | Professional | 52 · Reduced service | $95.50 | $95.50 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $309.03 | Professional | 53 · Discontinued | $38.90 | $38.90 | $309.03 |
Where Wisconsin sits
The same service costs 7.1 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· 2nd of 51
$355
AK $417AL $58.88
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.