How much rates vary
Facilitymedian $316 · 10th to 90th $162 to $457Professionalmedian $240 · 10th to 90th $76 to $813
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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $575.44 | Professional | None (both parts) | $138.04 | $162.18 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $39.81 Typical High $177.83 | Professional | 26 · Professional part | $38.02 | $39.81 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $75.86 | $123.03 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $457.09 Typical High $676.08 | Professional | None (both parts) | $112.20 | $457.09 | $676.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $125.89 Typical High $263.03 | Professional | 26 · Professional part | $38.02 | $125.89 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $331.13 Typical High $512.86 | Professional | TC · Technical part | $74.13 | $331.13 | $512.86 |
CareSource Setting Professional Modifier None (both parts) Typical Low $32.36 Median $102.33 Typical High $147.91 | Professional | None (both parts) | $32.36 | $102.33 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $398.11 Typical High $602.56 | Facility | None | $316.23 | $398.11 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $87.10 Typical High $426.58 | Professional | None (both parts) | $60.26 | $87.10 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $40.74 Typical High $104.71 | Professional | 26 · Professional part | $16.60 | $40.74 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $97.72 Typical High $338.84 | Professional | TC · Technical part | $38.90 | $97.72 | $338.84 |
DeanCare Setting Facility Modifier None Typical Low $109.65 Median $162.18 Typical High $281.84 | Facility | None | $109.65 | $162.18 | $281.84 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $436.52 | Professional | None (both parts) | $389.05 | $389.05 | $436.52 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $173.78 Typical High $436.52 | Facility | None | $109.65 | $173.78 | $436.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $295.12 Typical High $977.24 | Professional | None (both parts) | $97.72 | $295.12 | $977.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $120.23 Typical High $234.42 | Professional | 26 · Professional part | $29.51 | $120.23 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $204.17 Typical High $758.58 | Professional | TC · Technical part | $66.07 | $204.17 | $758.58 |
Network Health Setting Facility Modifier None Typical Low $213.80 Median $389.05 Typical High $389.05 | Facility | None | $213.80 | $389.05 | $389.05 |
Network Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $134.90 Typical High $467.74 | Professional | None (both parts) | $128.82 | $134.90 | $467.74 |
Prevea360 Setting Facility Modifier None Typical Low $109.65 Median $162.18 Typical High $281.84 | Facility | None | $109.65 | $162.18 | $281.84 |
Quartz Setting Professional Modifier None Typical Low $151.36 Median $316.23 Typical High $426.58 | Professional | None | $151.36 | $316.23 | $426.58 |
Quartz Setting Professional Modifier None (both parts) Typical Low $54.95 Median $67.61 Typical High $245.47 | Professional | None (both parts) | $54.95 | $67.61 | $245.47 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.42 Typical High $85.11 | Professional | 26 · Professional part | $16.60 | $20.42 | $85.11 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $51.29 Typical High $186.21 | Professional | TC · Technical part | $33.11 | $51.29 | $186.21 |
Security Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $316.23 | Professional | None | $93.33 | $93.33 | $316.23 |
Security Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $524.81 Typical High $977.24 | Professional | None (both parts) | $93.33 | $524.81 | $977.24 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $151.36 | Professional | 26 · Professional part | $28.18 | $28.18 | $151.36 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $302.00 | Professional | TC · Technical part | $41.69 | $41.69 | $302.00 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $251.19 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $251.19 | $575.44 | $575.44 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $162.18 Typical High $229.09 | Professional | 26 · Professional part | $61.66 | $162.18 | $229.09 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $123.03 Typical High $346.74 | Professional | None (both parts) | $77.62 | $123.03 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $39.81 Typical High $138.04 | Professional | 26 · Professional part | $23.44 | $39.81 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $208.93 | Professional | TC · Technical part | $54.95 | $85.11 | $208.93 |
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 $81.28 Median $81.28 Typical High $281.84 | Professional | 52 · Reduced service | $81.28 | $81.28 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $114.82 | Professional | 53 · Discontinued | $32.36 | $32.36 | $114.82 |
Where Wisconsin sits
The same service costs 5.2 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· 3rd of 51
$245
AK $309AL $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.