How much rates vary
Facilitymedian $229 · 10th to 90th $129 to $589Professionalmedian $269 · 10th to 90th $79 to $891
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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $1,862.09 | Professional | None (both parts) | $128.82 | $128.82 | $1,862.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $851.14 | Professional | 26 · Professional part | $47.86 | $47.86 | $851.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $81.28 | $81.28 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $416.87 Typical High $1,023.29 | Professional | None (both parts) | $134.90 | $416.87 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $154.88 Typical High $371.54 | Professional | 26 · Professional part | $47.86 | $154.88 | $371.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $263.03 Typical High $645.65 | Professional | TC · Technical part | $87.10 | $263.03 | $645.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.90 Median $69.18 Typical High $120.23 | Professional | None (both parts) | $38.90 | $69.18 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $316.23 Typical High $489.78 | Facility | None | $213.80 | $316.23 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $112.20 Typical High $346.74 | Professional | None (both parts) | $53.70 | $112.20 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $51.29 Typical High $128.82 | Professional | 26 · Professional part | $19.95 | $51.29 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $83.18 Typical High $229.09 | Professional | TC · Technical part | $33.88 | $83.18 | $229.09 |
DeanCare Setting Facility Modifier None Typical Low $85.11 Median $128.82 Typical High $245.47 | Facility | None | $85.11 | $128.82 | $245.47 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $346.74 | Professional | None (both parts) | $316.23 | $316.23 | $346.74 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $239.88 Typical High $912.01 | Facility | None | $107.15 | $239.88 | $912.01 |
Medica Setting Professional Modifier None (both parts) Typical Low $100.00 Median $416.87 Typical High $891.25 | Professional | None (both parts) | $100.00 | $416.87 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $154.88 Typical High $338.84 | Professional | 26 · Professional part | $36.31 | $154.88 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $302.00 Typical High $549.54 | Professional | TC · Technical part | $66.07 | $302.00 | $549.54 |
Network Health Setting Facility Modifier None Typical Low $181.97 Median $389.05 Typical High $389.05 | Facility | None | $181.97 | $389.05 | $389.05 |
Network Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $363.08 | Professional | None (both parts) | $162.18 | $199.53 | $363.08 |
Prevea360 Setting Facility Modifier None Typical Low $85.11 Median $128.82 Typical High $245.47 | Facility | None | $85.11 | $128.82 | $245.47 |
Quartz Setting Professional Modifier None Typical Low $125.89 Median $269.15 Typical High $363.08 | Professional | None | $125.89 | $269.15 | $363.08 |
Quartz Setting Professional Modifier None (both parts) Typical Low $53.70 Median $74.13 Typical High $302.00 | Professional | None (both parts) | $53.70 | $74.13 | $302.00 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $120.23 | Professional | 26 · Professional part | $19.95 | $27.54 | $120.23 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $45.71 Typical High $181.97 | Professional | TC · Technical part | $33.88 | $45.71 | $181.97 |
Security Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Security Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $616.60 Typical High $831.76 | Professional | None (both parts) | $245.47 | $616.60 | $831.76 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $213.80 | Professional | 26 · Professional part | $91.20 | $91.20 | $213.80 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $323.59 | Professional | TC · Technical part | $69.18 | $69.18 | $323.59 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $204.17 Typical High $295.12 | Professional | 26 · Professional part | $74.13 | $204.17 | $295.12 |
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 $85.11 Median $144.54 Typical High $524.81 | Professional | None (both parts) | $85.11 | $144.54 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $54.95 Typical High $181.97 | Professional | 26 · Professional part | $32.36 | $54.95 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $89.13 Typical High $346.74 | Professional | TC · Technical part | $51.29 | $89.13 | $346.74 |
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 $64.57 Median $64.57 Typical High $933.25 | Professional | 52 · Reduced service | $64.57 | $64.57 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $371.54 | Professional | 53 · Discontinued | $25.70 | $25.70 | $371.54 |
Where Wisconsin sits
The same service costs 4.5 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
$269
AK $316AL $70.79
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.