How much rates vary
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,148.15 Typical High $2,398.83 | Professional | None (both parts) | $831.76 | $1,148.15 | $2,398.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $239.88 Typical High $2,187.76 | Professional | 26 · Professional part | $169.82 | $239.88 | $2,187.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $645.65 | $1,096.48 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $812.83 Typical High $2,089.30 | Professional | None (both parts) | $251.19 | $812.83 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $407.38 Typical High $1,096.48 | Professional | 26 · Professional part | $128.82 | $407.38 | $1,096.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $436.52 Typical High $1,023.29 | Professional | TC · Technical part | $120.23 | $436.52 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $851.14 Typical High $1,258.93 | Facility | None | $741.31 | $851.14 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $398.11 Typical High $933.25 | Professional | None (both parts) | $354.81 | $398.11 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $208.93 Typical High $436.52 | Professional | 26 · Professional part | $169.82 | $208.93 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $194.98 Typical High $524.81 | Professional | TC · Technical part | $177.83 | $194.98 | $524.81 |
DeanCare Setting Facility Modifier None Typical Low $338.84 Median $1,737.80 Typical High $2,511.89 | Facility | None | $338.84 | $1,737.80 | $2,511.89 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $457.09 Median $645.65 Typical High $794.33 | Professional | None (both parts) | $457.09 | $645.65 | $794.33 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $234.42 Typical High $380.19 | Professional | 26 · Professional part | $218.78 | $234.42 | $380.19 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $537.03 Typical High $1,412.54 | Facility | None | $263.03 | $537.03 | $1,412.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $562.34 Median $2,187.76 Typical High $2,570.40 | Professional | None (both parts) | $562.34 | $2,187.76 | $2,570.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $512.86 Typical High $1,148.15 | Professional | 26 · Professional part | $162.18 | $512.86 | $1,148.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $1,621.81 Typical High $1,995.26 | Professional | TC · Technical part | $309.03 | $1,621.81 | $1,995.26 |
Network Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $645.65 | $758.58 | $758.58 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $323.59 Typical High $398.11 | Professional | 26 · Professional part | $114.82 | $323.59 | $398.11 |
Prevea360 Setting Facility Modifier None Typical Low $263.03 Median $338.84 Typical High $707.95 | Facility | None | $263.03 | $338.84 | $707.95 |
Quartz Setting Professional Modifier None Typical Low $275.42 Median $562.34 Typical High $954.99 | Professional | None | $275.42 | $562.34 | $954.99 |
Quartz Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $851.14 | Professional | None (both parts) | $363.08 | $363.08 | $851.14 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $389.05 | Professional | 26 · Professional part | $186.21 | $186.21 | $389.05 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $426.58 | Professional | TC · Technical part | $177.83 | $177.83 | $426.58 |
Security Health Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,238.72 Typical High $2,818.38 | Professional | None (both parts) | $1,949.84 | $2,238.72 | $2,818.38 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $575.44 Typical High $724.44 | Professional | 26 · Professional part | $354.81 | $575.44 | $724.44 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $1,122.02 Typical High $3,090.30 | Professional | None (both parts) | $416.87 | $1,122.02 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $251.19 Typical High $691.83 | Professional | 26 · Professional part | $131.83 | $251.19 | $691.83 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $891.25 Typical High $2,398.83 | Professional | TC · Technical part | $218.78 | $891.25 | $2,398.83 |
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 $575.44 Median $575.44 Typical High $1,202.26 | Professional | 52 · Reduced service | $575.44 | $575.44 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $478.63 | Professional | 53 · Discontinued | $229.09 | $229.09 | $478.63 |
Where Wisconsin sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 2nd of 51
$912
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.