How much rates vary
Facilitymedian $245 · 10th to 90th $126 to $417Professionalmedian $214 · 10th to 90th $60 to $776
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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $977.24 | Professional | None (both parts) | $123.03 | $144.54 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $316.23 | Professional | 26 · Professional part | $29.51 | $37.15 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $75.86 | $107.15 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $346.74 Typical High $776.25 | Professional | None (both parts) | $53.70 | $346.74 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $100.00 Typical High $213.80 | Professional | 26 · Professional part | $14.79 | $100.00 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $251.19 Typical High $549.54 | Professional | TC · Technical part | $38.90 | $251.19 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $354.81 Typical High $549.54 | Facility | None | $275.42 | $354.81 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $128.82 Typical High $436.52 | Professional | None (both parts) | $60.26 | $128.82 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $42.66 Typical High $109.65 | Professional | 26 · Professional part | $15.49 | $42.66 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $128.82 Typical High $323.59 | Professional | TC · Technical part | $44.67 | $128.82 | $323.59 |
DeanCare Setting Facility Modifier None Typical Low $97.72 Median $144.54 Typical High $257.04 | Facility | None | $97.72 | $144.54 | $257.04 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $389.05 | Professional | None (both parts) | $346.74 | $346.74 | $389.05 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $144.54 Typical High $302.00 | Facility | None | $97.72 | $144.54 | $302.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $89.13 Median $173.78 Typical High $870.96 | Professional | None (both parts) | $89.13 | $173.78 | $870.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $48.98 Typical High $213.80 | Professional | 26 · Professional part | $25.12 | $48.98 | $213.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $117.49 Typical High $660.69 | Professional | TC · Technical part | $64.57 | $117.49 | $660.69 |
Network Health Setting Facility Modifier None Typical Low $112.20 Median $125.89 Typical High $208.93 | Facility | None | $112.20 | $125.89 | $208.93 |
Network Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $190.55 Typical High $416.87 | Professional | None (both parts) | $120.23 | $190.55 | $416.87 |
Prevea360 Setting Facility Modifier None Typical Low $97.72 Median $144.54 Typical High $257.04 | Facility | None | $97.72 | $144.54 | $257.04 |
Quartz Setting Professional Modifier None Typical Low $162.18 Median $295.12 Typical High $416.87 | Professional | None | $162.18 | $295.12 | $416.87 |
Quartz Setting Professional Modifier None (both parts) Typical Low $48.98 Median $60.26 Typical High $229.09 | Professional | None (both parts) | $48.98 | $60.26 | $229.09 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.49 Typical High $57.54 | Professional | 26 · Professional part | $14.13 | $15.49 | $57.54 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $44.67 Typical High $169.82 | Professional | TC · Technical part | $35.48 | $44.67 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $281.84 | Professional | None | $95.50 | $95.50 | $281.84 |
Security Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $371.54 Typical High $954.99 | Professional | None (both parts) | $95.50 | $371.54 | $954.99 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $104.71 | Professional | 26 · Professional part | $26.92 | $26.92 | $104.71 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $295.12 | Professional | TC · Technical part | $69.18 | $69.18 | $295.12 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $537.03 | Professional | None (both parts) | $257.04 | $257.04 | $537.03 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $154.88 Typical High $162.18 | Professional | 26 · Professional part | $57.54 | $154.88 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $134.90 Typical High $478.63 | Professional | None (both parts) | $75.86 | $134.90 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $35.48 Typical High $131.83 | Professional | 26 · Professional part | $19.50 | $35.48 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $97.72 Typical High $346.74 | Professional | TC · Technical part | $56.23 | $97.72 | $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 $72.44 Median $72.44 Typical High $489.78 | Professional | 52 · Reduced service | $72.44 | $72.44 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $194.98 | Professional | 53 · Discontinued | $28.84 | $28.84 | $194.98 |
Where Wisconsin sits
The same service costs 5.5 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· 5th of 51
$214
AK $380AL $69.18
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.