How much rates vary
Facilitymedian $151 · 10th to 90th $83 to $275Professionalmedian $83 · 10th to 90th $45 to $219
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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | None (both parts) | $83.18 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $50.12 | Professional | 26 · Professional part | $43.65 | $43.65 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $37.15 | $39.81 | $39.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $83.18 Typical High $218.78 | Professional | None (both parts) | $44.67 | $83.18 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $67.61 Typical High $141.25 | Professional | 26 · Professional part | $44.67 | $67.61 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $120.23 | Professional | TC · Technical part | $39.81 | $39.81 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $269.15 Typical High $398.11 | Facility | None | $234.42 | $269.15 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $181.97 | Professional | None (both parts) | $64.57 | $77.62 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $95.50 | Professional | 26 · Professional part | $33.88 | $39.81 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.02 Typical High $87.10 | Professional | TC · Technical part | $30.90 | $38.02 | $87.10 |
DeanCare Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $181.97 | Facility | None | $81.28 | $104.71 | $181.97 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $123.03 Median $181.97 Typical High $239.88 | Professional | None (both parts) | $123.03 | $181.97 | $239.88 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $123.03 Typical High $181.97 | Facility | None | $81.28 | $123.03 | $181.97 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $549.54 | Professional | None (both parts) | $75.86 | $91.20 | $549.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $281.84 | Professional | 26 · Professional part | $41.69 | $50.12 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $354.81 | Professional | TC · Technical part | $34.67 | $42.66 | $354.81 |
Network Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $165.96 | Facility | None | $131.83 | $131.83 | $165.96 |
Network Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $64.57 | $117.49 | $186.21 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $32.36 | $61.66 | $100.00 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $56.23 Typical High $87.10 | Professional | TC · Technical part | $28.84 | $56.23 | $87.10 |
Prevea360 Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $181.97 | Facility | None | $81.28 | $104.71 | $181.97 |
Quartz Setting Professional Modifier None Typical Low $93.33 Median $117.49 Typical High $223.87 | Professional | None | $93.33 | $117.49 | $223.87 |
Quartz Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $173.78 | Professional | None (both parts) | $64.57 | $64.57 | $173.78 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $91.20 | Professional | 26 · Professional part | $33.88 | $33.88 | $91.20 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $83.18 | Professional | TC · Technical part | $30.90 | $30.90 | $83.18 |
Security Health Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Security Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $309.03 | Professional | None (both parts) | $109.65 | $131.83 | $309.03 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $89.13 | Professional | 26 · Professional part | $61.66 | $64.57 | $89.13 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $52.48 Typical High $79.43 | Professional | TC · Technical part | $48.98 | $52.48 | $79.43 |
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 $75.86 Median $89.13 Typical High $199.53 | Professional | None (both parts) | $75.86 | $89.13 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $107.15 | Professional | 26 · Professional part | $39.81 | $47.86 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $91.20 | Professional | TC · Technical part | $33.88 | $40.74 | $91.20 |
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 $41.69 Median $41.69 Typical High $48.98 | Professional | 52 · Reduced service | $41.69 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.98 Typical High $19.50 | Professional | 53 · Discontinued | $16.60 | $16.98 | $19.50 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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· 27th of 51
$83.18
AK $229NJ $61.66
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.