How much rates vary
Facilitymedian $3,090 · 10th to 90th $151 to $40,738Professionalmedian $158 · 10th to 90th $60 to $407
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 $87.10 Median $87.10 Typical High $14,454.40 | Facility | None | $87.10 | $87.10 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $562.34 | Professional | None (both parts) | $87.10 | $87.10 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $616.60 | Professional | 26 · Professional part | $69.18 | $69.18 | $616.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | TC · Technical part | $17.38 | $17.38 | $17.38 |
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 $54.95 Median $181.97 Typical High $407.38 | Professional | None (both parts) | $54.95 | $181.97 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $144.54 Typical High $323.59 | Professional | 26 · Professional part | $41.69 | $144.54 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $37.15 Typical High $81.28 | Professional | TC · Technical part | $11.22 | $37.15 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $151.36 Typical High $223.87 | Facility | None | $131.83 | $151.36 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $144.54 Typical High $190.55 | Professional | None (both parts) | $67.61 | $144.54 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $104.71 Typical High $186.21 | Professional | 26 · Professional part | $53.70 | $104.71 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $38.90 Typical High $45.71 | Professional | TC · Technical part | $13.80 | $38.90 | $45.71 |
DeanCare Setting Facility Modifier None Typical Low $35.48 Median $54.95 Typical High $100.00 | Facility | None | $35.48 | $54.95 | $100.00 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $117.49 | $147.91 | $147.91 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $2,187.76 Typical High $7,079.46 | Facility | None | $467.74 | $2,187.76 | $7,079.46 |
Medica Setting Professional Modifier None (both parts) Typical Low $74.13 Median $158.49 Typical High $338.84 | Professional | None (both parts) | $74.13 | $158.49 | $338.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $138.04 Typical High $257.04 | Professional | 26 · Professional part | $50.12 | $138.04 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $40.74 Typical High $83.18 | Professional | TC · Technical part | $18.20 | $40.74 | $83.18 |
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 $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Prevea360 Setting Facility Modifier None Typical Low $35.48 Median $54.95 Typical High $100.00 | Facility | None | $35.48 | $54.95 | $100.00 |
Quartz Setting Professional Modifier None Typical Low $50.12 Median $107.15 Typical High $181.97 | Professional | None | $50.12 | $107.15 | $181.97 |
Quartz Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $154.88 | Professional | None (both parts) | $67.61 | $67.61 | $154.88 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $53.70 | $112.20 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $13.80 Typical High $38.90 | Professional | TC · Technical part | $13.80 | $13.80 | $38.90 |
Security Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
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 $234.42 Median $363.08 Typical High $501.19 | Professional | None (both parts) | $234.42 | $363.08 | $501.19 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,951.21 Typical High $14,791.08 | Facility | None | $707.95 | $2,951.21 | $14,791.08 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $165.96 Typical High $346.74 | Professional | None (both parts) | $63.10 | $165.96 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $125.89 Typical High $257.04 | Professional | 26 · Professional part | $45.71 | $125.89 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $40.74 Typical High $85.11 | Professional | TC · Technical part | $15.85 | $40.74 | $85.11 |
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 $43.65 Median $43.65 Typical High $281.84 | Professional | 52 · Reduced service | $43.65 | $43.65 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $112.20 | Professional | 53 · Discontinued | $17.38 | $17.38 | $112.20 |
Where Wisconsin sits
The same service costs 51.3 times more in Oklahoma 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· 6th of 51
$234
OK $2,570NY $50.12
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.