How much rates vary
Facilitymedian $123 · 10th to 90th $62 to $204Professionalmedian $68 · 10th to 90th $48 to $170
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $61.66 Typical High $72.44 | Professional | None (both parts) | $60.26 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $40.74 | Professional | 26 · Professional part | $35.48 | $35.48 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | TC · Technical part | $24.55 | $25.70 | $25.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $190.55 | Professional | None (both parts) | $61.66 | $61.66 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $114.82 | Professional | 26 · Professional part | $35.48 | $35.48 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $77.62 | Professional | TC · Technical part | $25.70 | $25.70 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $194.98 Typical High $295.12 | Facility | None | $173.78 | $194.98 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $56.23 Typical High $134.90 | Professional | None (both parts) | $47.86 | $56.23 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $77.62 | Professional | 26 · Professional part | $27.54 | $32.36 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $56.23 | Professional | TC · Technical part | $19.95 | $24.55 | $56.23 |
DeanCare Setting Facility Modifier None Typical Low $60.26 Median $75.86 Typical High $134.90 | Facility | None | $60.26 | $75.86 | $134.90 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $114.82 | $162.18 | $162.18 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $57.54 Typical High $69.18 | Professional | TC · Technical part | $48.98 | $57.54 | $69.18 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $123.03 Typical High $151.36 | Facility | None | $72.44 | $123.03 | $151.36 |
Medica Setting Professional Modifier None (both parts) Typical Low $54.95 Median $70.79 Typical High $398.11 | Professional | None (both parts) | $54.95 | $70.79 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $346.74 | Professional | 26 · Professional part | $34.67 | $40.74 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $29.51 Typical High $165.96 | Professional | TC · Technical part | $18.20 | $29.51 | $165.96 |
Network Health Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $134.90 | Facility | None | $95.50 | $95.50 | $134.90 |
Network Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $87.10 Typical High $147.91 | Professional | None (both parts) | $47.86 | $87.10 | $147.91 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $25.70 | $50.12 | $89.13 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $36.31 Typical High $58.88 | Professional | TC · Technical part | $19.05 | $36.31 | $58.88 |
Prevea360 Setting Facility Modifier None Typical Low $60.26 Median $75.86 Typical High $134.90 | Facility | None | $60.26 | $75.86 | $134.90 |
Quartz Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $162.18 | Professional | None | $69.18 | $81.28 | $162.18 |
Quartz Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $128.82 | Professional | None (both parts) | $47.86 | $47.86 | $128.82 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $74.13 | Professional | 26 · Professional part | $27.54 | $27.54 | $74.13 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $53.70 | Professional | TC · Technical part | $19.95 | $19.95 | $53.70 |
Security Health Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Security Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $100.00 Typical High $223.87 | Professional | None (both parts) | $67.61 | $100.00 | $223.87 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $50.12 | $53.70 | $72.44 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $35.48 Typical High $50.12 | Professional | TC · Technical part | $33.88 | $35.48 | $50.12 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $67.61 Median $70.79 Typical High $181.97 | Professional | None (both parts) | $67.61 | $70.79 | $181.97 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $39.81 Typical High $123.03 | Professional | 26 · Professional part | $38.90 | $39.81 | $123.03 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $144.54 | Professional | None (both parts) | $53.70 | $67.61 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $87.10 | Professional | 26 · Professional part | $34.67 | $40.74 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.92 Typical High $58.88 | Professional | TC · Technical part | $19.05 | $26.92 | $58.88 |
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 $30.20 Median $30.90 Typical High $35.48 | Professional | 52 · Reduced service | $30.20 | $30.90 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.30 Typical High $14.13 | Professional | 53 · Discontinued | $12.02 | $12.30 | $14.13 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 20th of 51
$67.61
AK $170FL $45.71
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.