How much rates vary
Facilitymedian $363 · 10th to 90th $288 to $977Professionalmedian $501 · 10th to 90th $209 to $1,445
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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $1,445.44 | Professional | None (both parts) | $229.09 | $323.59 | $1,445.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $165.96 Typical High $1,047.13 | Professional | 26 · Professional part | $107.15 | $165.96 | $1,047.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $107.15 | $162.18 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $549.54 Typical High $1,513.56 | Professional | None (both parts) | $177.83 | $549.54 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $281.84 Typical High $776.25 | Professional | 26 · Professional part | $91.20 | $281.84 | $776.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $281.84 Typical High $758.58 | Professional | TC · Technical part | $89.13 | $281.84 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $1,412.54 | Facility | None | $831.76 | $954.99 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $1,000.00 | Professional | None (both parts) | $251.19 | $281.84 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $144.54 Typical High $288.40 | Professional | 26 · Professional part | $117.49 | $144.54 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $144.54 Typical High $724.44 | Professional | TC · Technical part | $125.89 | $144.54 | $724.44 |
DeanCare Setting Facility Modifier None Typical Low $234.42 Median $338.84 Typical High $562.34 | Facility | None | $234.42 | $338.84 | $562.34 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $323.59 Median $457.09 Typical High $851.14 | Professional | None (both parts) | $323.59 | $457.09 | $851.14 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $162.18 Typical High $263.03 | Professional | 26 · Professional part | $151.36 | $162.18 | $263.03 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $338.84 Typical High $645.65 | Facility | None | $234.42 | $338.84 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $1,122.02 Typical High $1,258.93 | Professional | None (both parts) | $309.03 | $1,122.02 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $354.81 Typical High $549.54 | Professional | 26 · Professional part | $109.65 | $354.81 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $724.44 Typical High $1,096.48 | Professional | TC · Technical part | $204.17 | $724.44 | $1,096.48 |
Network Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $478.63 Typical High $537.03 | Professional | None (both parts) | $398.11 | $478.63 | $537.03 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $213.80 Typical High $275.42 | Professional | 26 · Professional part | $79.43 | $213.80 | $275.42 |
Prevea360 Setting Facility Modifier None Typical Low $234.42 Median $338.84 Typical High $562.34 | Facility | None | $234.42 | $338.84 | $562.34 |
Quartz Setting Professional Modifier None Typical Low $190.55 Median $389.05 Typical High $676.08 | Professional | None | $190.55 | $389.05 | $676.08 |
Quartz Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $575.44 | Professional | None (both parts) | $257.04 | $257.04 | $575.44 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $269.15 | Professional | 26 · Professional part | $128.82 | $128.82 | $269.15 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $288.40 | Professional | TC · Technical part | $125.89 | $125.89 | $288.40 |
Security Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Security Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $2,089.30 Typical High $2,691.53 | Professional | None (both parts) | $954.99 | $2,089.30 | $2,691.53 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $398.11 Typical High $478.63 | Professional | 26 · Professional part | $234.42 | $398.11 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $524.81 Typical High $1,513.56 | Professional | None (both parts) | $281.84 | $524.81 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $173.78 Typical High $478.63 | Professional | 26 · Professional part | $93.33 | $173.78 | $478.63 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $371.54 Typical High $1,047.13 | Professional | TC · Technical part | $186.21 | $371.54 | $1,047.13 |
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 $162.18 Median $162.18 Typical High $724.44 | Professional | 52 · Reduced service | $162.18 | $162.18 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $288.40 | Professional | 53 · Discontinued | $66.07 | $66.07 | $288.40 |
Where Wisconsin sits
The same service costs 3.1 times more in Alaska than in New York. 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· 4th of 51
$501
AK $537NY $174
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.