How much rates vary
Facilitymedian $34 · 10th to 90th $19 to $79Professionalmedian $19 · 10th to 90th $13 to $68
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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $19.95 | Professional | None (both parts) | $18.62 | $18.62 | $19.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.14 Typical High $15.85 | Professional | 26 · Professional part | $14.45 | $15.14 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $3.63 Typical High $3.89 | Professional | TC · Technical part | $3.63 | $3.63 | $3.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $63.10 | Professional | None (both parts) | $16.98 | $16.98 | $63.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $50.12 | Professional | 26 · Professional part | $13.80 | $13.80 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $3.31 Typical High $11.75 | Professional | TC · Technical part | $3.31 | $3.31 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $53.70 Typical High $79.43 | Facility | None | $46.77 | $53.70 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $13.49 Median $15.49 Typical High $45.71 | Professional | None (both parts) | $13.49 | $15.49 | $45.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.30 Typical High $37.15 | Professional | 26 · Professional part | $10.72 | $12.30 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.57 Median $2.95 Typical High $8.91 | Professional | TC · Technical part | $2.57 | $2.95 | $8.91 |
DeanCare Setting Facility Modifier None Typical Low $16.60 Median $21.38 Typical High $37.15 | Facility | None | $16.60 | $21.38 | $37.15 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $25.12 Median $37.15 Typical High $47.86 | Professional | None (both parts) | $25.12 | $37.15 | $47.86 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $36.31 | Professional | 26 · Professional part | $25.70 | $30.20 | $36.31 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $5.75 Median $6.17 Typical High $8.71 | Professional | TC · Technical part | $5.75 | $6.17 | $8.71 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $24.55 Typical High $398.11 | Facility | None | $16.60 | $24.55 | $398.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $16.60 Median $28.18 Typical High $269.15 | Professional | None (both parts) | $16.60 | $28.18 | $269.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $89.13 | Professional | 26 · Professional part | $13.18 | $15.49 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $9.33 Typical High $213.80 | Professional | TC · Technical part | $3.16 | $9.33 | $213.80 |
Network Health Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $46.77 | Facility | None | $26.92 | $26.92 | $46.77 |
Network Health Setting Professional Modifier None (both parts) Typical Low $13.49 Median $23.99 Typical High $67.61 | Professional | None (both parts) | $13.49 | $23.99 | $67.61 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $19.50 Typical High $36.31 | Professional | 26 · Professional part | $10.00 | $19.50 | $36.31 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $2.40 Median $4.68 Typical High $37.15 | Professional | TC · Technical part | $2.40 | $4.68 | $37.15 |
Prevea360 Setting Facility Modifier None Typical Low $16.60 Median $21.38 Typical High $37.15 | Facility | None | $16.60 | $21.38 | $37.15 |
Quartz Setting Professional Modifier None Typical Low $19.05 Median $23.44 Typical High $51.29 | Professional | None | $19.05 | $23.44 | $51.29 |
Quartz Setting Professional Modifier None (both parts) Typical Low $13.49 Median $13.49 Typical High $21.88 | Professional | None (both parts) | $13.49 | $13.49 | $21.88 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $17.78 | Professional | 26 · Professional part | $10.72 | $10.72 | $17.78 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $2.57 Median $2.57 Typical High $4.17 | Professional | TC · Technical part | $2.57 | $2.57 | $4.17 |
Security Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Security Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $45.71 Typical High $100.00 | Professional | None (both parts) | $41.69 | $45.71 | $100.00 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.91 Typical High $38.90 | Professional | 26 · Professional part | $8.32 | $8.91 | $38.90 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $4.79 Median $4.79 Typical High $8.32 | Professional | TC · Technical part | $4.79 | $4.79 | $8.32 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $20.89 | $33.11 | $57.54 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $16.98 Median $22.91 Typical High $58.88 | Professional | None (both parts) | $16.98 | $22.91 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $47.86 | Professional | 26 · Professional part | $12.88 | $14.79 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $4.07 Typical High $27.54 | Professional | TC · Technical part | $3.16 | $4.07 | $27.54 |
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 $9.33 Median $9.33 Typical High $10.00 | Professional | 52 · Reduced service | $9.33 | $9.33 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $3.98 | Professional | 53 · Discontinued | $3.72 | $3.72 | $3.98 |
Where Wisconsin sits
The same service costs 2.5 times more in California 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· 30th of 51
$19.95
CA $40.74TX $16.22
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.