How much rates vary
Facilitymedian $1,000 · 10th to 90th $263 to $1,778Professionalmedian $741 · 10th to 90th $275 to $1,820
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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $2,818.38 | Professional | None (both parts) | $251.19 | $371.54 | $2,818.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $128.82 Typical High $1,230.27 | Professional | 26 · Professional part | $100.00 | $128.82 | $1,230.27 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $177.83 | $245.47 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,174.90 | $1,202.26 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $758.58 Typical High $1,737.80 | Professional | None (both parts) | $229.09 | $758.58 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $263.03 Typical High $602.56 | Professional | 26 · Professional part | $77.62 | $263.03 | $602.56 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $489.78 Typical High $1,122.02 | Professional | TC · Technical part | $151.36 | $489.78 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $831.76 Typical High $1,230.27 | Facility | None | $724.44 | $831.76 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $758.58 Typical High $870.96 | Professional | None (both parts) | $288.40 | $758.58 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $194.98 Typical High $363.08 | Professional | 26 · Professional part | $100.00 | $194.98 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $501.19 Typical High $645.65 | Professional | TC · Technical part | $190.55 | $501.19 | $645.65 |
DeanCare Setting Facility Modifier None Typical Low $245.47 Median $295.12 Typical High $616.60 | Facility | None | $245.47 | $295.12 | $616.60 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $524.81 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $524.81 | $741.31 | $741.31 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $954.99 Typical High $1,778.28 | Facility | None | $218.78 | $954.99 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $346.74 Median $812.83 Typical High $1,778.28 | Professional | None (both parts) | $346.74 | $812.83 | $1,778.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $275.42 Typical High $602.56 | Professional | 26 · Professional part | $89.13 | $275.42 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $575.44 Typical High $1,174.90 | Professional | TC · Technical part | $234.42 | $575.44 | $1,174.90 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $2,344.23 | Facility | None | $831.76 | $954.99 | $2,344.23 |
Network Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $630.96 | $630.96 | $630.96 |
Prevea360 Setting Facility Modifier None Typical Low $245.47 Median $295.12 Typical High $616.60 | Facility | None | $245.47 | $295.12 | $616.60 |
Quartz Setting Professional Modifier None Typical Low $295.12 Median $616.60 Typical High $1,000.00 | Professional | None | $295.12 | $616.60 | $1,000.00 |
Quartz Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $794.33 | Professional | None (both parts) | $288.40 | $288.40 | $794.33 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $204.17 | Professional | 26 · Professional part | $100.00 | $100.00 | $204.17 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $501.19 | Professional | TC · Technical part | $190.55 | $190.55 | $501.19 |
Security Health Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,819.70 Typical High $2,511.89 | Professional | None (both parts) | $1,071.52 | $1,819.70 | $2,511.89 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,202.26 Typical High $1,862.09 | Facility | None | $218.78 | $1,202.26 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $812.83 Typical High $1,819.70 | Professional | None (both parts) | $323.59 | $812.83 | $1,819.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $263.03 Typical High $616.60 | Professional | 26 · Professional part | $87.10 | $263.03 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $562.34 Typical High $1,202.26 | Professional | TC · Technical part | $218.78 | $562.34 | $1,202.26 |
2 more rates 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 52 · Reduced service Typical Low $186.21 Median $186.21 Typical High $1,412.54 | Professional | 52 · Reduced service | $186.21 | $186.21 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $562.34 | Professional | 53 · Discontinued | $74.13 | $74.13 | $562.34 |
Where Wisconsin sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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
$776
WI $776OR $182
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.