How much rates vary
Facilitymedian $9,550 · 10th to 90th $2,239 to $16,218Professionalmedian $4,074 · 10th to 90th $1,479 to $9,550
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 $2,238.72 Median $11,220.18 Typical High $14,454.40 | Facility | None | $2,238.72 | $11,220.18 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $2,238.72 Typical High $17,782.79 | Professional | None (both parts) | $1,318.26 | $2,238.72 | $17,782.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $660.69 Typical High $7,943.28 | Professional | 26 · Professional part | $436.52 | $660.69 | $7,943.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,584.89 Typical High $1,584.89 | Professional | TC · Technical part | $1,000.00 | $1,584.89 | $1,584.89 |
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 $1,348.96 Median $4,786.30 Typical High $10,471.29 | Professional | None (both parts) | $1,348.96 | $4,786.30 | $10,471.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $1,348.96 Typical High $3,090.30 | Professional | 26 · Professional part | $398.11 | $1,348.96 | $3,090.30 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $3,467.37 Typical High $7,413.10 | Professional | TC · Technical part | $954.99 | $3,467.37 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $3,630.78 Typical High $5,128.61 | Facility | None | $2,818.38 | $3,630.78 | $5,128.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $3,548.13 Typical High $5,011.87 | Professional | None (both parts) | $1,737.80 | $3,548.13 | $5,011.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $1,023.29 Typical High $1,412.54 | Professional | 26 · Professional part | $524.81 | $1,023.29 | $1,412.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $2,511.89 Typical High $3,548.13 | Professional | TC · Technical part | $1,230.27 | $2,511.89 | $3,548.13 |
DeanCare Setting Facility Modifier None Typical Low $1,380.38 Median $7,943.28 Typical High $14,791.08 | Facility | None | $1,380.38 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,951.21 Typical High $3,630.78 | Professional | None (both parts) | $2,187.76 | $2,951.21 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $6,760.83 Typical High $12,882.50 | Facility | None | $1,288.25 | $6,760.83 | $12,882.50 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $3,801.89 Typical High $7,762.47 | Professional | None (both parts) | $1,513.56 | $3,801.89 | $7,762.47 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $1,174.90 Typical High $2,290.87 | Professional | 26 · Professional part | $446.68 | $1,174.90 | $2,290.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $2,630.27 Typical High $5,370.32 | Professional | TC · Technical part | $1,047.13 | $2,630.27 | $5,370.32 |
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 $1,737.80 Median $2,951.21 Typical High $3,630.78 | Professional | None (both parts) | $1,737.80 | $2,951.21 | $3,630.78 |
Prevea360 Setting Facility Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $2,454.71 | Facility | None | $1,071.52 | $1,380.38 | $2,454.71 |
Quartz Setting Professional Modifier None Typical Low $2,344.23 Median $3,090.30 Typical High $5,248.07 | Professional | None | $2,344.23 | $3,090.30 | $5,248.07 |
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 $1,737.80 Median $1,737.80 Typical High $3,801.89 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $3,801.89 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $524.81 Typical High $1,071.52 | Professional | 26 · Professional part | $524.81 | $524.81 | $1,071.52 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,230.27 Typical High $2,691.53 | Professional | TC · Technical part | $1,230.27 | $1,230.27 | $2,691.53 |
Security Health Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | None | $6,760.83 | $6,760.83 | $6,760.83 |
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 $5,888.44 Median $8,511.38 Typical High $9,549.93 | Professional | None (both parts) | $5,888.44 | $8,511.38 | $9,549.93 |
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 $1,445.44 Median $3,890.45 Typical High $7,943.28 | Professional | None (both parts) | $1,445.44 | $3,890.45 | $7,943.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $1,174.90 Typical High $2,398.83 | Professional | 26 · Professional part | $426.58 | $1,174.90 | $2,398.83 |
United Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $2,754.23 Typical High $5,495.41 | Professional | TC · Technical part | $1,023.29 | $2,754.23 | $5,495.41 |
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 $1,698.24 Median $1,698.24 Typical High $13,489.63 | Professional | 54 · Surgery only | $1,698.24 | $1,698.24 | $13,489.63 |
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
$4,898
WI $4,898NY $1,259
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.