How much rates vary
Facilitymedian $9,333 · 10th to 90th $1,585 to $16,218Professionalmedian $2,754 · 10th to 90th $1,023 to $6,166
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 $1,548.82 Median $1,905.46 Typical High $14,454.40 | Facility | None | $1,548.82 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,548.82 Typical High $9,120.11 | Professional | None (both parts) | $977.24 | $1,548.82 | $9,120.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $234.42 Typical High $3,090.30 | Professional | 26 · Professional part | $158.49 | $234.42 | $3,090.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $831.76 | $1,318.26 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,549.93 Median $13,803.84 Typical High $22,387.21 | Facility | None | $9,549.93 | $13,803.84 | $22,387.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $933.25 Median $3,235.94 Typical High $6,918.31 | Professional | None (both parts) | $933.25 | $3,235.94 | $6,918.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $478.63 Typical High $1,096.48 | Professional | 26 · Professional part | $141.25 | $478.63 | $1,096.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $2,818.38 Typical High $5,754.40 | Professional | TC · Technical part | $794.33 | $2,818.38 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $2,884.03 Typical High $4,570.88 | Facility | None | $2,238.72 | $2,884.03 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $2,454.71 Typical High $3,467.37 | Professional | None (both parts) | $1,230.27 | $2,454.71 | $3,467.37 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $354.81 Typical High $501.19 | Professional | 26 · Professional part | $181.97 | $354.81 | $501.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $2,137.96 Typical High $2,951.21 | Professional | TC · Technical part | $1,047.13 | $2,137.96 | $2,951.21 |
DeanCare Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $1,737.80 | Facility | None | $758.58 | $954.99 | $1,737.80 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $2,041.74 Typical High $2,290.87 | Professional | None (both parts) | $1,513.56 | $2,041.74 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $6,606.93 Typical High $12,882.50 | Facility | None | $1,047.13 | $6,606.93 | $12,882.50 |
Medica Setting Professional Modifier None (both parts) Typical Low $977.24 Median $2,290.87 Typical High $4,677.35 | Professional | None (both parts) | $977.24 | $2,290.87 | $4,677.35 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $398.11 Typical High $812.83 | Professional | 26 · Professional part | $154.88 | $398.11 | $812.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,905.46 Typical High $3,890.45 | Professional | TC · Technical part | $831.76 | $1,905.46 | $3,890.45 |
Network Health Setting Facility Modifier None Typical Low $3,981.07 Median $9,332.54 Typical High $15,848.93 | Facility | None | $3,981.07 | $9,332.54 | $15,848.93 |
Network Health Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,862.09 Typical High $2,290.87 | Professional | None (both parts) | $1,202.26 | $1,862.09 | $2,290.87 |
Prevea360 Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $1,737.80 | Facility | None | $758.58 | $954.99 | $1,737.80 |
Quartz Setting Professional Modifier None Typical Low $1,548.82 Median $2,187.76 Typical High $3,715.35 | Professional | None | $1,548.82 | $2,187.76 | $3,715.35 |
Quartz Setting Facility Modifier None Typical Low $2,754.23 Median $3,388.44 Typical High $4,897.79 | Facility | None | $2,754.23 | $3,388.44 | $4,897.79 |
Quartz Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $2,570.40 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $2,570.40 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $371.54 | Professional | 26 · Professional part | $181.97 | $181.97 | $371.54 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $2,137.96 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $2,137.96 |
Security Health Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
Security Health Setting Facility Modifier None Typical Low $10,964.78 Median $13,489.63 Typical High $15,488.17 | Facility | None | $10,964.78 | $13,489.63 | $15,488.17 |
Security Health Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $5,888.44 Typical High $6,606.93 | Professional | None (both parts) | $3,548.13 | $5,888.44 | $6,606.93 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $7,585.78 Typical High $13,489.63 | Facility | None | $1,479.11 | $7,585.78 | $13,489.63 |
United Setting Professional Modifier None (both parts) Typical Low $933.25 Median $2,570.40 Typical High $4,786.30 | Professional | None (both parts) | $933.25 | $2,570.40 | $4,786.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $398.11 Typical High $831.76 | Professional | 26 · Professional part | $151.36 | $398.11 | $831.76 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $2,187.76 Typical High $3,890.45 | Professional | TC · Technical part | $794.33 | $2,187.76 | $3,890.45 |
1 more rate 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 54 · Surgery only Typical Low $1,174.90 Median $1,174.90 Typical High $6,918.31 | Professional | 54 · Surgery only | $1,174.90 | $1,174.90 | $6,918.31 |
Where Wisconsin sits
The same service costs 4.3 times more in Wisconsin 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· 1st of 51
$3,467
WI $3,467NY $813
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.