How much rates vary
Facilitymedian $9,550 · 10th to 90th $1,660 to $16,218Professionalmedian $2,951 · 10th to 90th $1,072 to $6,607
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 $1,621.81 Median $11,220.18 Typical High $14,454.40 | Facility | None | $1,621.81 | $11,220.18 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,621.81 Typical High $7,585.78 | Professional | None (both parts) | $1,288.25 | $1,621.81 | $7,585.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $416.87 Typical High $2,951.21 | Professional | 26 · Professional part | $295.12 | $416.87 | $2,951.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $794.33 | $1,202.26 | $1,202.26 |
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 $977.24 Median $3,467.37 Typical High $7,585.78 | Professional | None (both parts) | $977.24 | $3,467.37 | $7,585.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $851.14 Typical High $1,949.84 | Professional | 26 · Professional part | $251.19 | $851.14 | $1,949.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $2,630.27 Typical High $5,623.41 | Professional | TC · Technical part | $724.44 | $2,630.27 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $4,677.35 | Facility | None | $2,290.87 | $2,884.03 | $4,677.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $2,570.40 Typical High $3,630.78 | Professional | None (both parts) | $1,258.93 | $2,570.40 | $3,630.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $645.65 Typical High $891.25 | Professional | 26 · Professional part | $331.13 | $645.65 | $891.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,905.46 Typical High $2,691.53 | Professional | TC · Technical part | $933.25 | $1,905.46 | $2,691.53 |
DeanCare Setting Facility Modifier None Typical Low $776.25 Median $1,000.00 Typical High $1,778.28 | Facility | None | $776.25 | $1,000.00 | $1,778.28 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $2,137.96 Typical High $2,511.89 | Professional | None (both parts) | $1,584.89 | $2,137.96 | $2,511.89 |
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 $1,071.52 Median $2,570.40 Typical High $5,370.32 | Professional | None (both parts) | $1,071.52 | $2,570.40 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $741.31 Typical High $1,445.44 | Professional | 26 · Professional part | $281.84 | $741.31 | $1,445.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,862.09 Typical High $3,801.89 | Professional | TC · Technical part | $776.25 | $1,862.09 | $3,801.89 |
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 $1,258.93 Median $2,089.30 Typical High $2,511.89 | Professional | None (both parts) | $1,258.93 | $2,089.30 | $2,511.89 |
Prevea360 Setting Facility Modifier None Typical Low $776.25 Median $1,000.00 Typical High $1,778.28 | Facility | None | $776.25 | $1,000.00 | $1,778.28 |
Quartz Setting Professional Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $3,801.89 | Professional | None | $1,698.24 | $2,238.72 | $3,801.89 |
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 $1,258.93 Median $1,258.93 Typical High $2,754.23 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $2,754.23 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $676.08 | Professional | 26 · Professional part | $331.13 | $331.13 | $676.08 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $933.25 Typical High $2,041.74 | Professional | TC · Technical part | $933.25 | $933.25 | $2,041.74 |
Security Health Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,897.79 | $4,897.79 | $4,897.79 |
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 $4,073.80 Median $6,165.95 Typical High $6,918.31 | Professional | None (both parts) | $4,073.80 | $6,165.95 | $6,918.31 |
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 $1,023.29 Median $2,754.23 Typical High $5,370.32 | Professional | None (both parts) | $1,023.29 | $2,754.23 | $5,370.32 |
United Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $741.31 Typical High $1,548.82 | Professional | 26 · Professional part | $269.15 | $741.31 | $1,548.82 |
United Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $2,041.74 Typical High $3,890.45 | Professional | TC · Technical part | $741.31 | $2,041.74 | $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 $1,202.26 Median $1,202.26 Typical High $5,754.40 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $5,754.40 |
Where Wisconsin sits
The same service costs 4.2 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
$3,631
WI $3,631NY $871
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.