How much rates vary
Facilitymedian $1,698 · 10th to 90th $324 to $40,738Professionalmedian $851 · 10th to 90th $257 to $3,311
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 $407.38 Median $11,220.18 Typical High $14,454.40 | Facility | None | $407.38 | $11,220.18 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $407.38 Typical High $5,011.87 | Professional | None (both parts) | $275.42 | $407.38 | $5,011.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $302.00 Typical High $1,819.70 | Professional | 26 · Professional part | $199.53 | $302.00 | $1,819.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $75.86 | $102.33 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $26,915.35 Typical High $54,954.09 | Facility | None | $1,202.26 | $26,915.35 | $54,954.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $831.76 Typical High $1,905.46 | Professional | None (both parts) | $251.19 | $831.76 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $616.60 Typical High $1,412.54 | Professional | 26 · Professional part | $181.97 | $616.60 | $1,412.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $218.78 Typical High $478.63 | Professional | TC · Technical part | $63.10 | $218.78 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,584.89 Typical High $2,344.23 | Facility | None | $1,380.38 | $1,584.89 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $1,122.02 Typical High $1,737.80 | Professional | None (both parts) | $316.23 | $1,122.02 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $457.09 Typical High $645.65 | Professional | 26 · Professional part | $234.42 | $457.09 | $645.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $776.25 Typical High $1,202.26 | Professional | TC · Technical part | $79.43 | $776.25 | $1,202.26 |
DeanCare Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,344.23 | Facility | None | $407.38 | $588.84 | $2,344.23 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $575.44 | $1,479.11 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $1,000.00 Typical High $7,079.46 | Facility | None | $234.42 | $1,000.00 | $7,079.46 |
Medica Setting Professional Modifier None (both parts) Typical Low $524.81 Median $1,862.09 Typical High $4,570.88 | Professional | None (both parts) | $524.81 | $1,862.09 | $4,570.88 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $588.84 Typical High $1,096.48 | Professional | 26 · Professional part | $204.17 | $588.84 | $1,096.48 |
Medica Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $1,380.38 Typical High $3,630.78 | Professional | TC · Technical part | $446.68 | $1,380.38 | $3,630.78 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $2,344.23 | Facility | None | $831.76 | $954.99 | $2,344.23 |
Network Health Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Prevea360 Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,344.23 | Facility | None | $407.38 | $588.84 | $2,344.23 |
Quartz Setting Professional Modifier None Typical Low $245.47 Median $524.81 Typical High $831.76 | Professional | None | $245.47 | $524.81 | $831.76 |
Quartz Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $691.83 | Professional | None (both parts) | $316.23 | $316.23 | $691.83 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $489.78 | Professional | 26 · Professional part | $234.42 | $234.42 | $489.78 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $79.43 | $177.83 |
Security Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
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 $1,174.90 Median $3,715.35 Typical High $5,011.87 | Professional | None (both parts) | $1,174.90 | $3,715.35 | $5,011.87 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,202.26 Typical High $14,791.08 | Facility | None | $218.78 | $1,202.26 | $14,791.08 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $1,819.70 Typical High $3,388.44 | Professional | None (both parts) | $218.78 | $1,819.70 | $3,388.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $537.03 Typical High $1,096.48 | Professional | 26 · Professional part | $194.98 | $537.03 | $1,096.48 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $1,258.93 Typical High $2,238.72 | Professional | TC · Technical part | $72.44 | $1,258.93 | $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 $204.17 Median $204.17 Typical High $2,511.89 | Professional | 52 · Reduced service | $204.17 | $204.17 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $1,000.00 | Professional | 53 · Discontinued | $81.28 | $81.28 | $1,000.00 |
Where Wisconsin sits
The same service costs 4.6 times more in Wisconsin than in Maryland. 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· 1st of 51
$1,047
WI $1,047MD $229
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.