How much rates vary
Facilitymedian $3,090 · 10th to 90th $550 to $40,738Professionalmedian $676 · 10th to 90th $251 to $1,698
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 $380.19 Median $380.19 Typical High $14,454.40 | Facility | None | $380.19 | $380.19 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $1,380.38 | Professional | None (both parts) | $380.19 | $380.19 | $1,380.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $1,548.82 | Professional | 26 · Professional part | $288.40 | $288.40 | $1,548.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $97.72 | $97.72 | $97.72 |
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 $239.88 Median $794.33 Typical High $1,778.28 | Professional | None (both parts) | $239.88 | $794.33 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $588.84 Typical High $1,348.96 | Professional | 26 · Professional part | $173.78 | $588.84 | $1,348.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $199.53 Typical High $457.09 | Professional | TC · Technical part | $60.26 | $199.53 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $630.96 Typical High $1,023.29 | Facility | None | $549.54 | $630.96 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $602.56 Typical High $691.83 | Professional | None (both parts) | $302.00 | $602.56 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $436.52 Typical High $630.96 | Professional | 26 · Professional part | $223.87 | $436.52 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $169.82 Typical High $194.98 | Professional | TC · Technical part | $75.86 | $169.82 | $194.98 |
DeanCare Setting Facility Modifier None Typical Low $234.42 Median $323.59 Typical High $446.68 | Facility | None | $234.42 | $323.59 | $446.68 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $549.54 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $549.54 | $616.60 | $616.60 |
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 $295.12 Median $645.65 Typical High $1,412.54 | Professional | None (both parts) | $295.12 | $645.65 | $1,412.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $501.19 Typical High $1,000.00 | Professional | 26 · Professional part | $186.21 | $501.19 | $1,000.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $173.78 Typical High $354.81 | Professional | TC · Technical part | $77.62 | $173.78 | $354.81 |
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 $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 $234.42 Median $323.59 Typical High $446.68 | Facility | None | $234.42 | $323.59 | $446.68 |
Quartz Setting Professional Modifier None Typical Low $234.42 Median $489.78 Typical High $794.33 | Professional | None | $234.42 | $489.78 | $794.33 |
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 $302.00 Median $302.00 Typical High $645.65 | Professional | None (both parts) | $302.00 | $302.00 | $645.65 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $467.74 | Professional | 26 · Professional part | $223.87 | $223.87 | $467.74 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $169.82 | Professional | TC · Technical part | $75.86 | $75.86 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
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 $977.24 Median $1,513.56 Typical High $2,089.30 | Professional | None (both parts) | $977.24 | $1,513.56 | $2,089.30 |
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 $251.19 Median $676.08 Typical High $1,412.54 | Professional | None (both parts) | $251.19 | $676.08 | $1,412.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $501.19 Typical High $1,047.13 | Professional | 26 · Professional part | $186.21 | $501.19 | $1,047.13 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $165.96 Typical High $363.08 | Professional | TC · Technical part | $75.86 | $165.96 | $363.08 |
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 $190.55 Median $190.55 Typical High $691.83 | Professional | 52 · Reduced service | $190.55 | $190.55 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $275.42 | Professional | 53 · Discontinued | $77.62 | $77.62 | $275.42 |
Where Wisconsin sits
The same service costs 5.9 times more in Louisiana than in Alabama. 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· 3rd of 51
$891
LA $1,288AL $219
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.