How much rates vary
Facilitymedian $3,090 · 10th to 90th $468 to $40,738Professionalmedian $501 · 10th to 90th $186 to $1,318
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 $281.84 Median $281.84 Typical High $14,454.40 | Facility | None | $281.84 | $281.84 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $1,318.26 | Professional | None (both parts) | $281.84 | $281.84 | $1,318.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $1,412.54 | Professional | 26 · Professional part | $204.17 | $204.17 | $1,412.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $81.28 | $81.28 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $26,915.35 Typical High $54,954.09 | Facility | None | $2,041.74 | $26,915.35 | $54,954.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $575.44 Typical High $1,318.26 | Professional | None (both parts) | $177.83 | $575.44 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $416.87 Typical High $954.99 | Professional | 26 · Professional part | $123.03 | $416.87 | $954.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $162.18 Typical High $380.19 | Professional | TC · Technical part | $50.12 | $162.18 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $467.74 Typical High $776.25 | Facility | None | $407.38 | $467.74 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $446.68 Typical High $512.86 | Professional | None (both parts) | $223.87 | $446.68 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $309.03 Typical High $446.68 | Professional | 26 · Professional part | $158.49 | $309.03 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $138.04 Typical High $158.49 | Professional | TC · Technical part | $63.10 | $138.04 | $158.49 |
DeanCare Setting Facility Modifier None Typical Low $173.78 Median $288.40 Typical High $338.84 | Facility | None | $173.78 | $288.40 | $338.84 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $407.38 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $407.38 | $457.09 | $457.09 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $2,187.76 Typical High $7,762.47 | Facility | None | $467.74 | $2,187.76 | $7,762.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $467.74 Typical High $1,023.29 | Professional | None (both parts) | $208.93 | $467.74 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $354.81 Typical High $707.95 | Professional | 26 · Professional part | $131.83 | $354.81 | $707.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $141.25 Typical High $288.40 | Professional | TC · Technical part | $63.10 | $141.25 | $288.40 |
Network Health Setting Facility Modifier None Typical Low $1,548.82 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,548.82 | $2,818.38 | $4,786.30 |
Network Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
Prevea360 Setting Facility Modifier None Typical Low $173.78 Median $288.40 Typical High $338.84 | Facility | None | $173.78 | $288.40 | $338.84 |
Quartz Setting Professional Modifier None Typical Low $173.78 Median $371.54 Typical High $588.84 | Professional | None | $173.78 | $371.54 | $588.84 |
Quartz Setting Facility Modifier None Typical Low $29,512.09 Median $29,512.09 Typical High $29,512.09 | Facility | None | $29,512.09 | $29,512.09 | $29,512.09 |
Quartz Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $467.74 | Professional | None (both parts) | $223.87 | $223.87 | $467.74 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $331.13 | Professional | 26 · Professional part | $158.49 | $158.49 | $331.13 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $141.25 | Professional | TC · Technical part | $63.10 | $63.10 | $141.25 |
Security Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Security Health Setting Facility Modifier None Typical Low $37,153.52 Median $40,738.03 Typical High $52,480.75 | Facility | None | $37,153.52 | $40,738.03 | $52,480.75 |
Security Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,122.02 Typical High $1,513.56 | Professional | None (both parts) | $724.44 | $1,122.02 | $1,513.56 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,951.21 Typical High $19,952.62 | Facility | None | $707.95 | $2,951.21 | $19,952.62 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $489.78 Typical High $1,047.13 | Professional | None (both parts) | $181.97 | $489.78 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $354.81 Typical High $741.31 | Professional | 26 · Professional part | $128.82 | $354.81 | $741.31 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $141.25 Typical High $295.12 | Professional | TC · Technical part | $60.26 | $141.25 | $295.12 |
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 $141.25 Median $141.25 Typical High $660.69 | Professional | 52 · Reduced service | $141.25 | $141.25 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $263.03 | Professional | 53 · Discontinued | $57.54 | $57.54 | $263.03 |
Where Wisconsin sits
The same service costs 8.3 times more in Louisiana than in Hawaii. 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· 5th of 51
$676
LA $1,288HI $155
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.