How much rates vary
Facilitymedian $9,550 · 10th to 90th $2,138 to $15,849Professionalmedian $3,715 · 10th to 90th $1,380 to $8,710
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 $2,089.30 Median $11,220.18 Typical High $14,454.40 | Facility | None | $2,089.30 | $11,220.18 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $2,089.30 Typical High $10,715.19 | Professional | None (both parts) | $1,412.54 | $2,089.30 | $10,715.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $562.34 Typical High $4,466.84 | Professional | 26 · Professional part | $389.05 | $562.34 | $4,466.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,513.56 Typical High $1,513.56 | Professional | TC · Technical part | $1,047.13 | $1,513.56 | $1,513.56 |
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 $1,230.27 Median $4,365.16 Typical High $9,549.93 | Professional | None (both parts) | $1,230.27 | $4,365.16 | $9,549.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $1,122.02 Typical High $2,630.27 | Professional | 26 · Professional part | $338.84 | $1,122.02 | $2,630.27 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $3,235.94 Typical High $7,079.46 | Professional | TC · Technical part | $912.01 | $3,235.94 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $3,311.31 Typical High $5,011.87 | Facility | None | $2,818.38 | $3,311.31 | $5,011.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $3,235.94 Typical High $4,570.88 | Professional | None (both parts) | $1,621.81 | $3,235.94 | $4,570.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $851.14 Typical High $1,202.26 | Professional | 26 · Professional part | $436.52 | $851.14 | $1,202.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $2,398.83 Typical High $3,388.44 | Professional | TC · Technical part | $1,174.90 | $2,398.83 | $3,388.44 |
DeanCare Setting Facility Modifier None Typical Low $1,288.25 Median $7,943.28 Typical High $14,791.08 | Facility | None | $1,288.25 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,691.53 Typical High $3,235.94 | Professional | None (both parts) | $1,995.26 | $2,691.53 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $6,606.93 Typical High $12,882.50 | Facility | None | $1,202.26 | $6,606.93 | $12,882.50 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $3,388.44 Typical High $6,918.31 | Professional | None (both parts) | $1,380.38 | $3,388.44 | $6,918.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $977.24 Typical High $1,905.46 | Professional | 26 · Professional part | $380.19 | $977.24 | $1,905.46 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $2,398.83 Typical High $4,897.79 | Professional | TC · Technical part | $1,000.00 | $2,398.83 | $4,897.79 |
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 $1,584.89 Median $2,754.23 Typical High $3,235.94 | Professional | None (both parts) | $1,584.89 | $2,754.23 | $3,235.94 |
Prevea360 Setting Facility Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $2,290.87 | Facility | None | $1,000.00 | $1,288.25 | $2,290.87 |
Quartz Setting Professional Modifier None Typical Low $2,187.76 Median $2,818.38 Typical High $4,897.79 | Professional | None | $2,187.76 | $2,818.38 | $4,897.79 |
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 $1,621.81 Median $1,621.81 Typical High $3,467.37 | Professional | None (both parts) | $1,621.81 | $1,621.81 | $3,467.37 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $436.52 Typical High $891.25 | Professional | 26 · Professional part | $436.52 | $436.52 | $891.25 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,174.90 Typical High $2,570.40 | Professional | TC · Technical part | $1,174.90 | $1,174.90 | $2,570.40 |
Security Health Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | None | $6,165.95 | $6,165.95 | $6,165.95 |
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 $5,248.07 Median $7,762.47 Typical High $8,912.51 | Professional | None (both parts) | $5,248.07 | $7,762.47 | $8,912.51 |
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 $1,318.26 Median $3,548.13 Typical High $7,079.46 | Professional | None (both parts) | $1,318.26 | $3,548.13 | $7,079.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $977.24 Typical High $2,041.74 | Professional | 26 · Professional part | $363.08 | $977.24 | $2,041.74 |
United Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $2,630.27 Typical High $5,011.87 | Professional | TC · Technical part | $954.99 | $2,630.27 | $5,011.87 |
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 $1,548.82 Median $1,548.82 Typical High $8,128.31 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $8,128.31 |
Where Wisconsin sits
The same service costs 4.0 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
$4,467
WI $4,467NY $1,122
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.