How much rates vary
Facilitymedian $11,220 · 10th to 90th $1,479 to $33,113Professionalmedian $2,188 · 10th to 90th $851 to $5,623
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 $1,202.26 Median $11,220.18 Typical High $14,454.40 | Facility | None | $1,202.26 | $11,220.18 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,202.26 Typical High $4,677.35 | Professional | None (both parts) | $891.25 | $1,202.26 | $4,677.35 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $676.08 Typical High $3,981.07 | Professional | 26 · Professional part | $478.63 | $676.08 | $3,981.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $524.81 Typical High $524.81 | Professional | TC · Technical part | $426.58 | $524.81 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,481.54 Median $26,915.35 Typical High $54,954.09 | Facility | None | $11,481.54 | $26,915.35 | $54,954.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $741.31 Median $2,454.71 Typical High $5,623.41 | Professional | None (both parts) | $741.31 | $2,454.71 | $5,623.41 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $1,412.54 Typical High $3,162.28 | Professional | 26 · Professional part | $407.38 | $1,412.54 | $3,162.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $1,071.52 Typical High $2,454.71 | Professional | TC · Technical part | $323.59 | $1,071.52 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $6,606.93 Typical High $10,964.78 | Facility | None | $1,862.09 | $6,606.93 | $10,964.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,995.26 Typical High $2,290.87 | Professional | None (both parts) | $933.25 | $1,995.26 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $1,047.13 Typical High $1,548.82 | Professional | 26 · Professional part | $537.03 | $1,047.13 | $1,548.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $933.25 Typical High $1,096.48 | Professional | TC · Technical part | $407.38 | $933.25 | $1,096.48 |
DeanCare Setting Facility Modifier None Typical Low $776.25 Median $1,230.27 Typical High $1,584.89 | Facility | None | $776.25 | $1,230.27 | $1,584.89 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,995.26 Typical High $1,995.26 | Professional | None (both parts) | $1,698.24 | $1,995.26 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $7,585.78 Typical High $17,378.01 | Facility | None | $1,230.27 | $7,585.78 | $17,378.01 |
Medica Setting Professional Modifier None (both parts) Typical Low $912.01 Median $2,041.74 Typical High $4,466.84 | Professional | None (both parts) | $912.01 | $2,041.74 | $4,466.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $1,230.27 Typical High $2,511.89 | Professional | 26 · Professional part | $457.09 | $1,230.27 | $2,511.89 |
Medica Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $977.24 Typical High $1,995.26 | Professional | TC · Technical part | $407.38 | $977.24 | $1,995.26 |
Network Health Setting Facility Modifier None Typical Low $5,128.61 Median $10,715.19 Typical High $17,378.01 | Facility | None | $5,128.61 | $10,715.19 | $17,378.01 |
Network Health Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None (both parts) | $1,995.26 | $1,995.26 | $1,995.26 |
Prevea360 Setting Facility Modifier None Typical Low $776.25 Median $1,230.27 Typical High $1,584.89 | Facility | None | $776.25 | $1,230.27 | $1,584.89 |
Quartz Setting Professional Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $3,019.95 | Professional | None | $1,380.38 | $1,737.80 | $3,019.95 |
Quartz Setting Facility Modifier None Typical Low $6,606.93 Median $8,128.31 Typical High $12,022.64 | Facility | None | $6,606.93 | $8,128.31 | $12,022.64 |
Quartz Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $2,089.30 | Professional | None (both parts) | $933.25 | $933.25 | $2,089.30 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $537.03 Typical High $1,096.48 | Professional | 26 · Professional part | $537.03 | $537.03 | $1,096.48 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $933.25 | Professional | TC · Technical part | $407.38 | $407.38 | $933.25 |
Security Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
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 $3,235.94 Median $4,897.79 Typical High $6,760.83 | Professional | None (both parts) | $3,235.94 | $4,897.79 | $6,760.83 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $8,912.51 Typical High $19,952.62 | Facility | None | $1,698.24 | $8,912.51 | $19,952.62 |
United Setting Professional Modifier None (both parts) Typical Low $831.76 Median $2,187.76 Typical High $4,570.88 | Professional | None (both parts) | $831.76 | $2,187.76 | $4,570.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $1,202.26 Typical High $2,511.89 | Professional | 26 · Professional part | $446.68 | $1,202.26 | $2,511.89 |
United Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $954.99 Typical High $2,041.74 | Professional | TC · Technical part | $371.54 | $954.99 | $2,041.74 |
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 $602.56 Median $602.56 Typical High $2,344.23 | Professional | 52 · Reduced service | $602.56 | $602.56 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $933.25 | Professional | 53 · Discontinued | $239.88 | $239.88 | $933.25 |
Where Wisconsin sits
The same service costs 7.1 times more in Texas 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
$3,020
TX $3,981HI $562
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.