How much rates vary
Facilitymedian $977 · 10th to 90th $550 to $1,778Professionalmedian $1,000 · 10th to 90th $282 to $2,692
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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $549.54 Typical High $2,570.40 | Professional | None (both parts) | $524.81 | $549.54 | $2,570.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $489.78 | Professional | 26 · Professional part | $64.57 | $85.11 | $489.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $363.08 | $457.09 | $457.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $363.08 Median $1,380.38 Typical High $2,344.23 | Professional | None (both parts) | $363.08 | $1,380.38 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $269.15 Typical High $549.54 | Professional | 26 · Professional part | $79.43 | $269.15 | $549.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $1,230.27 Typical High $1,819.70 | Professional | TC · Technical part | $288.40 | $1,230.27 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $2,089.30 | Facility | None | $1,202.26 | $1,348.96 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $338.84 Typical High $1,380.38 | Professional | None (both parts) | $229.09 | $338.84 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $75.86 Typical High $223.87 | Professional | 26 · Professional part | $35.48 | $75.86 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $489.78 Typical High $1,202.26 | Professional | TC · Technical part | $190.55 | $489.78 | $1,202.26 |
DeanCare Setting Facility Modifier None Typical Low $338.84 Median $549.54 Typical High $977.24 | Facility | None | $338.84 | $549.54 | $977.24 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,479.11 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $588.84 Typical High $2,089.30 | Facility | None | $338.84 | $588.84 | $2,089.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $1,096.48 Typical High $3,235.94 | Professional | None (both parts) | $309.03 | $1,096.48 | $3,235.94 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $251.19 Typical High $660.69 | Professional | 26 · Professional part | $63.10 | $251.19 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $954.99 Typical High $2,951.21 | Professional | TC · Technical part | $257.04 | $954.99 | $2,951.21 |
Network Health Setting Facility Modifier None Typical Low $630.96 Median $933.25 Typical High $1,445.44 | Facility | None | $630.96 | $933.25 | $1,445.44 |
Network Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $851.14 Typical High $1,445.44 | Professional | None (both parts) | $478.63 | $851.14 | $1,445.44 |
Prevea360 Setting Facility Modifier None Typical Low $338.84 Median $549.54 Typical High $977.24 | Facility | None | $338.84 | $549.54 | $977.24 |
Quartz Setting Professional Modifier None Typical Low $524.81 Median $1,096.48 Typical High $1,380.38 | Professional | None | $524.81 | $1,096.48 | $1,380.38 |
Quartz Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $1,000.00 | Professional | None (both parts) | $194.98 | $229.09 | $1,000.00 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $151.36 | Professional | 26 · Professional part | $35.48 | $39.81 | $151.36 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $776.25 | Professional | TC · Technical part | $154.88 | $190.55 | $776.25 |
Security Health Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $933.25 | Professional | None | $758.58 | $758.58 | $933.25 |
Security Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $2,238.72 Typical High $2,884.03 | Professional | None (both parts) | $758.58 | $2,238.72 | $2,884.03 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $288.40 | Professional | 26 · Professional part | $58.88 | $58.88 | $288.40 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $1,122.02 | Professional | TC · Technical part | $194.98 | $194.98 | $1,122.02 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $354.81 Typical High $380.19 | Professional | 26 · Professional part | $134.90 | $354.81 | $380.19 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $549.54 Typical High $1,258.93 | Professional | None (both parts) | $245.47 | $549.54 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $77.62 Typical High $288.40 | Professional | 26 · Professional part | $48.98 | $77.62 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $436.52 Typical High $977.24 | Professional | TC · Technical part | $208.93 | $436.52 | $977.24 |
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 $275.42 Median $275.42 Typical High $1,288.25 | Professional | 52 · Reduced service | $275.42 | $275.42 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $512.86 | Professional | 53 · Discontinued | $109.65 | $109.65 | $512.86 |
Where Wisconsin sits
The same service costs 11.5 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· 2nd of 51
$1,000
AK $1,778AL $155
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.