How much rates vary
Facilitymedian $117 · 10th to 90th $54 to $209Professionalmedian $145 · 10th to 90th $41 to $468
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $1,230.27 | Professional | None (both parts) | $74.13 | $74.13 | $1,230.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $575.44 | Professional | 26 · Professional part | $28.18 | $28.18 | $575.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $40.74 | $45.71 | $45.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $245.47 Typical High $537.03 | Professional | None (both parts) | $32.36 | $245.47 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $91.20 Typical High $199.53 | Professional | 26 · Professional part | $11.48 | $91.20 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $154.88 Typical High $346.74 | Professional | TC · Technical part | $20.42 | $154.88 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $177.83 Typical High $275.42 | Facility | None | $117.49 | $177.83 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $53.70 Typical High $194.98 | Professional | None (both parts) | $30.90 | $53.70 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $24.55 Typical High $74.13 | Professional | 26 · Professional part | $11.75 | $24.55 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $40.74 Typical High $125.89 | Professional | TC · Technical part | $19.05 | $40.74 | $125.89 |
DeanCare Setting Facility Modifier None Typical Low $50.12 Median $74.13 Typical High $141.25 | Facility | None | $50.12 | $74.13 | $141.25 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $199.53 | Professional | None (both parts) | $177.83 | $177.83 | $199.53 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $74.13 Typical High $141.25 | Facility | None | $50.12 | $74.13 | $141.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $57.54 Median $234.42 Typical High $436.52 | Professional | None (both parts) | $57.54 | $234.42 | $436.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $19.95 | $89.13 | $158.49 |
Medica Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $144.54 Typical High $281.84 | Professional | TC · Technical part | $35.48 | $144.54 | $281.84 |
Network Health Setting Facility Modifier None Typical Low $47.86 Median $53.70 Typical High $107.15 | Facility | None | $47.86 | $53.70 | $107.15 |
Network Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $104.71 Typical High $213.80 | Professional | None (both parts) | $61.66 | $104.71 | $213.80 |
Prevea360 Setting Facility Modifier None Typical Low $50.12 Median $74.13 Typical High $141.25 | Facility | None | $50.12 | $74.13 | $141.25 |
Quartz Setting Professional Modifier None Typical Low $70.79 Median $144.54 Typical High $199.53 | Professional | None | $70.79 | $144.54 | $199.53 |
Quartz Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $123.03 | Professional | None (both parts) | $30.90 | $35.48 | $123.03 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $44.67 | Professional | 26 · Professional part | $11.75 | $11.75 | $44.67 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.50 Typical High $79.43 | Professional | TC · Technical part | $19.05 | $19.50 | $79.43 |
Security Health Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $144.54 | Professional | None | $57.54 | $57.54 | $144.54 |
Security Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $346.74 Typical High $489.78 | Professional | None (both parts) | $57.54 | $346.74 | $489.78 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $81.28 | Professional | 26 · Professional part | $21.38 | $21.38 | $81.28 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $141.25 | Professional | TC · Technical part | $37.15 | $37.15 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $72.44 Typical High $288.40 | Professional | None (both parts) | $46.77 | $72.44 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $26.92 Typical High $104.71 | Professional | 26 · Professional part | $16.98 | $26.92 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $44.67 Typical High $181.97 | Professional | TC · Technical part | $29.51 | $44.67 | $181.97 |
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 $37.15 Median $37.15 Typical High $616.60 | Professional | 52 · Reduced service | $37.15 | $37.15 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $245.47 | Professional | 53 · Discontinued | $14.79 | $14.79 | $245.47 |
Where Wisconsin sits
The same service costs 4.4 times more in Alaska than in Texas. 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
$132
AK $182TX $41.69
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.