How much rates vary
Facilitymedian $1,000 · 10th to 90th $200 to $1,778Professionalmedian $389 · 10th to 90th $148 to $1,202
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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $199.53 Typical High $1,230.27 | Professional | None (both parts) | $165.96 | $199.53 | $1,230.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $977.24 | Professional | 26 · Professional part | $79.43 | $93.33 | $977.24 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $112.20 | Professional | TC · Technical part | $83.18 | $107.15 | $112.20 |
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 $125.89 Median $416.87 Typical High $1,348.96 | Professional | None (both parts) | $125.89 | $416.87 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $194.98 Typical High $524.81 | Professional | 26 · Professional part | $60.26 | $194.98 | $524.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $218.78 Typical High $512.86 | Professional | TC · Technical part | $67.61 | $218.78 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $371.54 Typical High $549.54 | Facility | None | $323.59 | $371.54 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $331.13 Typical High $467.74 | Professional | None (both parts) | $158.49 | $331.13 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $141.25 Typical High $275.42 | Professional | 26 · Professional part | $72.44 | $141.25 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $181.97 Typical High $251.19 | Professional | TC · Technical part | $83.18 | $181.97 | $251.19 |
DeanCare Setting Facility Modifier None Typical Low $44.67 Median $123.03 Typical High $346.74 | Facility | None | $44.67 | $123.03 | $346.74 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $954.99 Typical High $1,778.28 | Facility | None | $177.83 | $954.99 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $194.98 Median $549.54 Typical High $1,202.26 | Professional | None (both parts) | $194.98 | $549.54 | $1,202.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $204.17 Typical High $489.78 | Professional | 26 · Professional part | $64.57 | $204.17 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $346.74 Typical High $707.95 | Professional | TC · Technical part | $109.65 | $346.74 | $707.95 |
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 $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Prevea360 Setting Facility Modifier None Typical Low $44.67 Median $123.03 Typical High $346.74 | Facility | None | $44.67 | $123.03 | $346.74 |
Quartz Setting Professional Modifier None Typical Low $173.78 Median $363.08 Typical High $602.56 | Professional | None | $173.78 | $363.08 | $602.56 |
Quartz Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $478.63 | Professional | None (both parts) | $158.49 | $158.49 | $478.63 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $72.44 | $147.91 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $165.96 | $165.96 | $165.96 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $309.03 Typical High $380.19 | Professional | 26 · Professional part | $263.03 | $309.03 | $380.19 |
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 $173.78 Median $549.54 Typical High $1,202.26 | Professional | None (both parts) | $173.78 | $549.54 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $190.55 Typical High $489.78 | Professional | 26 · Professional part | $66.07 | $190.55 | $489.78 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $331.13 Typical High $724.44 | Professional | TC · Technical part | $107.15 | $331.13 | $724.44 |
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 $100.00 Median $100.00 Typical High $602.56 | Professional | 52 · Reduced service | $100.00 | $100.00 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $245.47 | Professional | 53 · Discontinued | $39.81 | $39.81 | $245.47 |
Where Wisconsin sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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
$417
WI $417VA $110
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.