How much rates vary
Facilitymedian $195 · 10th to 90th $138 to $427Professionalmedian $138 · 10th to 90th $98 to $427
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $138.04 Typical High $147.91 | Professional | None (both parts) | $125.89 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.49 Typical High $16.22 | Professional | 26 · Professional part | $15.14 | $15.49 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $107.15 | $120.23 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $436.52 | Professional | None (both parts) | $123.03 | $123.03 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $53.70 | Professional | 26 · Professional part | $14.45 | $14.45 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $380.19 | Professional | TC · Technical part | $107.15 | $107.15 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $416.87 Typical High $616.60 | Facility | None | $363.08 | $416.87 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $346.74 | Professional | None (both parts) | $97.72 | $117.49 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.59 Typical High $38.90 | Professional | 26 · Professional part | $10.96 | $12.59 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $302.00 | Professional | TC · Technical part | $87.10 | $107.15 | $302.00 |
DeanCare Setting Facility Modifier None Typical Low $123.03 Median $154.88 Typical High $281.84 | Facility | None | $123.03 | $154.88 | $281.84 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $186.21 | $239.88 | $354.81 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $169.82 Typical High $398.11 | Facility | None | $123.03 | $169.82 | $398.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $85.11 Median $123.03 Typical High $794.33 | Professional | None (both parts) | $85.11 | $123.03 | $794.33 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $134.90 | Professional | 26 · Professional part | $13.80 | $16.60 | $134.90 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $109.65 Typical High $707.95 | Professional | TC · Technical part | $72.44 | $109.65 | $707.95 |
Network Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $213.80 | Facility | None | $177.83 | $177.83 | $213.80 |
Network Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $97.72 | $165.96 | $257.04 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $19.95 Typical High $38.02 | Professional | 26 · Professional part | $10.47 | $19.95 | $38.02 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $147.91 Typical High $288.40 | Professional | TC · Technical part | $81.28 | $147.91 | $288.40 |
Prevea360 Setting Facility Modifier None Typical Low $123.03 Median $154.88 Typical High $281.84 | Facility | None | $123.03 | $154.88 | $281.84 |
Quartz Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $338.84 | Professional | None | $141.25 | $169.82 | $338.84 |
Quartz Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $165.96 | Professional | None (both parts) | $97.72 | $97.72 | $165.96 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $18.20 | Professional | 26 · Professional part | $10.96 | $10.96 | $18.20 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $141.25 | Professional | TC · Technical part | $87.10 | $87.10 | $141.25 |
Security Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Security Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $676.08 | Professional | None (both parts) | $213.80 | $251.19 | $676.08 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $39.81 | Professional | 26 · Professional part | $31.62 | $31.62 | $39.81 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $281.84 | Professional | TC · Technical part | $181.97 | $181.97 | $281.84 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $21.88 | $34.67 | $60.26 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $257.04 Typical High $389.05 | Professional | TC · Technical part | $177.83 | $257.04 | $389.05 |
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 $89.13 Median $123.03 Typical High $354.81 | Professional | None (both parts) | $89.13 | $123.03 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $50.12 | Professional | 26 · Professional part | $14.13 | $15.85 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $104.71 Typical High $309.03 | Professional | TC · Technical part | $75.86 | $104.71 | $309.03 |
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 $64.57 Median $69.18 Typical High $72.44 | Professional | 52 · Reduced service | $64.57 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $27.54 Typical High $28.84 | Professional | 53 · Discontinued | $26.30 | $27.54 | $28.84 |
Where Wisconsin sits
The same service costs 3.0 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· 18th of 51
$138
AK $245FL $81.28
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.