How much rates vary
Facilitymedian $1,000 · 10th to 90th $219 to $1,820Professionalmedian $490 · 10th to 90th $186 to $1,318
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 $295.12 Median $295.12 Typical High $14,454.40 | Facility | None | $295.12 | $295.12 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $295.12 Typical High $1,318.26 | Professional | None (both parts) | $208.93 | $295.12 | $1,318.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $134.90 Typical High $891.25 | Professional | 26 · Professional part | $89.13 | $134.90 | $891.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $117.49 | $162.18 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,174.90 | $1,202.26 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $588.84 Typical High $1,380.38 | Professional | None (both parts) | $158.49 | $588.84 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $275.42 Typical High $630.96 | Professional | 26 · Professional part | $81.28 | $275.42 | $630.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $323.59 Typical High $758.58 | Professional | TC · Technical part | $100.00 | $323.59 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $524.81 Typical High $776.25 | Facility | None | $457.09 | $524.81 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $478.63 Typical High $562.34 | Professional | None (both parts) | $229.09 | $478.63 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $204.17 Typical High $295.12 | Professional | 26 · Professional part | $104.71 | $204.17 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $257.04 Typical High $323.59 | Professional | TC · Technical part | $125.89 | $257.04 | $323.59 |
DeanCare Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $489.78 | Facility | None | $190.55 | $295.12 | $489.78 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $416.87 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $416.87 | $478.63 | $478.63 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $912.01 Typical High $1,778.28 | Facility | None | $204.17 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $489.78 Typical High $1,096.48 | Professional | None (both parts) | $213.80 | $489.78 | $1,096.48 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $234.42 Typical High $489.78 | Professional | 26 · Professional part | $87.10 | $234.42 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $288.40 Typical High $602.56 | Professional | TC · Technical part | $117.49 | $288.40 | $602.56 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $2,344.23 | Facility | None | $831.76 | $954.99 | $2,344.23 |
Network Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Prevea360 Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $489.78 | Facility | None | $190.55 | $295.12 | $489.78 |
Quartz Setting Professional Modifier None Typical Low $177.83 Median $380.19 Typical High $616.60 | Professional | None | $177.83 | $380.19 | $616.60 |
Quartz Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $478.63 | Professional | None (both parts) | $229.09 | $229.09 | $478.63 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $213.80 | Professional | 26 · Professional part | $104.71 | $104.71 | $213.80 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $257.04 | Professional | TC · Technical part | $125.89 | $125.89 | $257.04 |
Security Health Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Security Health Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,174.90 Typical High $1,621.81 | Professional | None (both parts) | $812.83 | $1,174.90 | $1,621.81 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,202.26 Typical High $1,862.09 | Facility | None | $218.78 | $1,202.26 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $524.81 Typical High $1,096.48 | Professional | None (both parts) | $194.98 | $524.81 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $234.42 Typical High $489.78 | Professional | 26 · Professional part | $85.11 | $234.42 | $489.78 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $288.40 Typical High $602.56 | Professional | TC · Technical part | $109.65 | $288.40 | $602.56 |
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 $147.91 Median $147.91 Typical High $660.69 | Professional | 52 · Reduced service | $147.91 | $147.91 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $263.03 | Professional | 53 · Discontinued | $58.88 | $58.88 | $263.03 |
Where Wisconsin sits
The same service costs 4.3 times more in Wisconsin than in Hawaii. 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· 1st of 51
$562
WI $562HI $132
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.