How much rates vary
Facilitymedian $178 · 10th to 90th $162 to $457Professionalmedian $363 · 10th to 90th $95 to $1,000
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 $162.18 Median $162.18 Typical High $954.99 | Professional | None (both parts) | $162.18 | $162.18 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $676.08 | Professional | 26 · Professional part | $91.20 | $91.20 | $676.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $69.18 | $69.18 | $69.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $478.63 Typical High $1,000.00 | Professional | None (both parts) | $134.90 | $478.63 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $288.40 Typical High $588.84 | Professional | 26 · Professional part | $85.11 | $288.40 | $588.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $218.78 Typical High $398.11 | Professional | TC · Technical part | $50.12 | $218.78 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $389.05 Typical High $588.84 | Facility | None | $177.83 | $389.05 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $134.90 Typical High $416.87 | Professional | None (both parts) | $67.61 | $134.90 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $83.18 Typical High $223.87 | Professional | 26 · Professional part | $38.02 | $83.18 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $77.62 Typical High $154.88 | Professional | TC · Technical part | $28.84 | $77.62 | $154.88 |
DeanCare Setting Facility Modifier None Typical Low $102.33 Median $162.18 Typical High $275.42 | Facility | None | $102.33 | $162.18 | $275.42 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $426.58 | Professional | None (both parts) | $389.05 | $389.05 | $426.58 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $169.82 Typical High $436.52 | Facility | None | $102.33 | $169.82 | $436.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $123.03 Median $416.87 Typical High $2,187.76 | Professional | None (both parts) | $123.03 | $416.87 | $2,187.76 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $269.15 Typical High $794.33 | Professional | 26 · Professional part | $67.61 | $269.15 | $794.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $165.96 Typical High $1,698.24 | Professional | TC · Technical part | $45.71 | $165.96 | $1,698.24 |
Network Health Setting Facility Modifier None Typical Low $169.82 Median $190.55 Typical High $371.54 | Facility | None | $169.82 | $190.55 | $371.54 |
Network Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $436.52 | Professional | None (both parts) | $199.53 | $234.42 | $436.52 |
Prevea360 Setting Facility Modifier None Typical Low $102.33 Median $162.18 Typical High $275.42 | Facility | None | $102.33 | $162.18 | $275.42 |
Quartz Setting Professional Modifier None Typical Low $154.88 Median $323.59 Typical High $467.74 | Professional | None | $154.88 | $323.59 | $467.74 |
Quartz Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $354.81 | Professional | None (both parts) | $67.61 | $87.10 | $354.81 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $181.97 | Professional | 26 · Professional part | $38.02 | $41.69 | $181.97 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $45.71 Typical High $141.25 | Professional | TC · Technical part | $28.84 | $45.71 | $141.25 |
Security Health Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $630.96 | Professional | None | $295.12 | $295.12 | $630.96 |
Security Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $660.69 Typical High $977.24 | Professional | None (both parts) | $407.38 | $660.69 | $977.24 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $302.00 | Professional | 26 · Professional part | $63.10 | $63.10 | $302.00 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $204.17 | Professional | TC · Technical part | $42.66 | $42.66 | $204.17 |
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 $95.50 Median $181.97 Typical High $489.78 | Professional | None (both parts) | $95.50 | $181.97 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $85.11 Typical High $316.23 | Professional | 26 · Professional part | $53.70 | $85.11 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $91.20 Typical High $173.78 | Professional | TC · Technical part | $39.81 | $91.20 | $173.78 |
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 $79.43 Median $79.43 Typical High $478.63 | Professional | 52 · Reduced service | $79.43 | $79.43 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $190.55 | Professional | 53 · Discontinued | $32.36 | $32.36 | $190.55 |
Where Wisconsin sits
The same service costs 7.6 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 $457AL $60.26
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.