How much rates vary
Facilitymedian $9,550 · 10th to 90th $1,995 to $16,218Professionalmedian $3,388 · 10th to 90th $1,230 to $8,128
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 $1,862.09 Median $11,220.18 Typical High $14,454.40 | Facility | None | $1,862.09 | $11,220.18 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,862.09 Typical High $10,715.19 | Professional | None (both parts) | $1,122.02 | $1,862.09 | $10,715.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $524.81 Typical High $3,981.07 | Professional | 26 · Professional part | $346.74 | $524.81 | $3,981.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,348.96 Typical High $1,348.96 | Professional | TC · Technical part | $851.14 | $1,348.96 | $1,348.96 |
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 $1,122.02 Median $3,981.07 Typical High $8,709.64 | Professional | None (both parts) | $1,122.02 | $3,981.07 | $8,709.64 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $1,047.13 Typical High $2,454.71 | Professional | 26 · Professional part | $316.23 | $1,047.13 | $2,454.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $2,951.21 Typical High $6,309.57 | Professional | TC · Technical part | $812.83 | $2,951.21 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $3,090.30 Typical High $4,897.79 | Facility | None | $2,691.53 | $3,090.30 | $4,897.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,951.21 Typical High $4,365.16 | Professional | None (both parts) | $1,479.11 | $2,951.21 | $4,365.16 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $794.33 Typical High $1,122.02 | Professional | 26 · Professional part | $407.38 | $794.33 | $1,122.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $2,187.76 Typical High $3,090.30 | Professional | TC · Technical part | $1,071.52 | $2,187.76 | $3,090.30 |
DeanCare Setting Facility Modifier None Typical Low $1,148.15 Median $7,943.28 Typical High $14,791.08 | Facility | None | $1,148.15 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $2,454.71 Typical High $3,019.95 | Professional | None (both parts) | $1,819.70 | $2,454.71 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $7,244.36 Typical High $12,882.50 | Facility | None | $1,148.15 | $7,244.36 | $12,882.50 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $3,162.28 Typical High $6,456.54 | Professional | None (both parts) | $1,258.93 | $3,162.28 | $6,456.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $912.01 Typical High $1,778.28 | Professional | 26 · Professional part | $354.81 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $2,290.87 Typical High $4,677.35 | Professional | TC · Technical part | $891.25 | $2,290.87 | $4,677.35 |
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 $1,445.44 Median $2,511.89 Typical High $3,019.95 | Professional | None (both parts) | $1,445.44 | $2,511.89 | $3,019.95 |
Prevea360 Setting Facility Modifier None Typical Low $912.01 Median $1,148.15 Typical High $2,041.74 | Facility | None | $912.01 | $1,148.15 | $2,041.74 |
Quartz Setting Professional Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $4,466.84 | Professional | None | $1,949.84 | $2,570.40 | $4,466.84 |
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 $1,479.11 Median $1,479.11 Typical High $3,162.28 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $3,162.28 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $407.38 Typical High $831.76 | Professional | 26 · Professional part | $407.38 | $407.38 | $831.76 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,071.52 Typical High $2,290.87 | Professional | TC · Technical part | $1,071.52 | $1,071.52 | $2,290.87 |
Security Health Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,623.41 | $5,623.41 | $5,623.41 |
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 $4,897.79 Median $7,079.46 Typical High $8,317.64 | Professional | None (both parts) | $4,897.79 | $7,079.46 | $8,317.64 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $1,348.96 Median $1,659.59 Typical High $2,290.87 | Professional | 26 · Professional part | $1,348.96 | $1,659.59 | $2,290.87 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $3,467.37 Median $4,897.79 Typical High $6,760.83 | Professional | TC · Technical part | $3,467.37 | $4,897.79 | $6,760.83 |
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 $1,202.26 Median $3,235.94 Typical High $6,606.93 | Professional | None (both parts) | $1,202.26 | $3,235.94 | $6,606.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $912.01 Typical High $1,905.46 | Professional | 26 · Professional part | $338.84 | $912.01 | $1,905.46 |
United Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $2,344.23 Typical High $4,677.35 | Professional | TC · Technical part | $851.14 | $2,344.23 | $4,677.35 |
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 $1,412.54 Median $1,412.54 Typical High $8,128.31 | Professional | 54 · Surgery only | $1,412.54 | $1,412.54 | $8,128.31 |
Where Wisconsin sits
The same service costs 3.9 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
$4,169
WI $4,169NY $1,072
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.