How much rates vary
Facilitymedian $11,220 · 10th to 90th $1,698 to $33,113Professionalmedian $2,951 · 10th to 90th $1,047 to $6,918
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 $1,479.11 Median $11,220.18 Typical High $14,454.40 | Facility | None | $1,479.11 | $11,220.18 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,479.11 Typical High $10,471.29 | Professional | None (both parts) | $1,047.13 | $1,479.11 | $10,471.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $1,096.48 Typical High $9,772.37 | Professional | 26 · Professional part | $741.31 | $1,096.48 | $9,772.37 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $275.42 | $371.54 | $371.54 |
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 $933.25 Median $3,162.28 Typical High $6,918.31 | Professional | None (both parts) | $933.25 | $3,162.28 | $6,918.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $660.69 Median $2,344.23 Typical High $5,128.61 | Professional | 26 · Professional part | $660.69 | $2,344.23 | $5,128.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $758.58 Typical High $1,737.80 | Professional | TC · Technical part | $229.09 | $758.58 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $6,606.93 Typical High $10,964.78 | Facility | None | $2,511.89 | $6,606.93 | $10,964.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $2,630.27 Typical High $3,090.30 | Professional | None (both parts) | $1,148.15 | $2,630.27 | $3,090.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $851.14 Median $1,659.59 Typical High $2,398.83 | Professional | 26 · Professional part | $851.14 | $1,659.59 | $2,398.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $933.25 Typical High $1,202.26 | Professional | TC · Technical part | $288.40 | $933.25 | $1,202.26 |
DeanCare Setting Facility Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $2,187.76 | Facility | None | $1,047.13 | $1,479.11 | $2,187.76 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,754.23 Typical High $2,754.23 | Professional | None (both parts) | $2,089.30 | $2,754.23 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $7,244.36 Typical High $17,378.01 | Facility | None | $1,230.27 | $7,244.36 | $17,378.01 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $2,884.03 Typical High $6,165.95 | Professional | None (both parts) | $1,122.02 | $2,884.03 | $6,165.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $2,137.96 Typical High $3,981.07 | Professional | 26 · Professional part | $741.31 | $2,137.96 | $3,981.07 |
Medica Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $1,000.00 Typical High $2,238.72 | Professional | TC · Technical part | $338.84 | $1,000.00 | $2,238.72 |
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $2,398.83 |
Prevea360 Setting Facility Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $2,187.76 | Facility | None | $1,047.13 | $1,479.11 | $2,187.76 |
Quartz Setting Professional Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $4,466.84 | Professional | None | $1,698.24 | $2,089.30 | $4,466.84 |
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 $1,148.15 Median $1,148.15 Typical High $2,630.27 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $2,630.27 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $851.14 Median $851.14 Typical High $1,778.28 | Professional | 26 · Professional part | $851.14 | $851.14 | $1,778.28 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $660.69 | Professional | TC · Technical part | $288.40 | $288.40 | $660.69 |
Security Health Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
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 $4,365.16 Median $6,760.83 Typical High $9,332.54 | Professional | None (both parts) | $4,365.16 | $6,760.83 | $9,332.54 |
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 $1,000.00 Median $2,884.03 Typical High $6,309.57 | Professional | None (both parts) | $1,000.00 | $2,884.03 | $6,309.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $707.95 Median $1,905.46 Typical High $4,073.80 | Professional | 26 · Professional part | $707.95 | $1,905.46 | $4,073.80 |
United Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $1,000.00 Typical High $2,238.72 | Professional | TC · Technical part | $363.08 | $1,000.00 | $2,238.72 |
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 $741.31 Median $741.31 Typical High $5,248.07 | Professional | 52 · Reduced service | $741.31 | $741.31 | $5,248.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $2,089.30 | Professional | 53 · Discontinued | $295.12 | $295.12 | $2,089.30 |
Where Wisconsin sits
The same service costs 5.2 times more in Louisiana 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· 3rd of 51
$3,802
LA $4,677NY $891
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.