How much rates vary
Facilitymedian $8,318 · 10th to 90th $759 to $17,378Professionalmedian $1,023 · 10th to 90th $407 to $2,570
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 $549.54 Median $549.54 Typical High $14,454.40 | Facility | None | $549.54 | $549.54 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $2,511.89 | Professional | None (both parts) | $549.54 | $549.54 | $2,511.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $2,951.21 | Professional | 26 · Professional part | $426.58 | $426.58 | $2,951.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $123.03 | $123.03 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,220.18 Median $11,481.54 Typical High $14,791.08 | Facility | None | $11,220.18 | $11,481.54 | $14,791.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $1,148.15 Typical High $2,570.40 | Professional | None (both parts) | $346.74 | $1,148.15 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $891.25 Typical High $1,995.26 | Professional | 26 · Professional part | $257.04 | $891.25 | $1,995.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $257.04 Typical High $575.44 | Professional | TC · Technical part | $77.62 | $257.04 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $933.25 Typical High $1,513.56 | Facility | None | $812.83 | $933.25 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $891.25 Typical High $1,023.29 | Professional | None (both parts) | $426.58 | $891.25 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $645.65 Typical High $1,023.29 | Professional | 26 · Professional part | $331.13 | $645.65 | $1,023.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $229.09 Typical High $281.84 | Professional | TC · Technical part | $95.50 | $229.09 | $281.84 |
DeanCare Setting Facility Modifier None Typical Low $346.74 Median $575.44 Typical High $1,096.48 | Facility | None | $346.74 | $575.44 | $1,096.48 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $776.25 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $776.25 | $912.01 | $912.01 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $7,244.36 Typical High $17,378.01 | Facility | None | $977.24 | $7,244.36 | $17,378.01 |
Medica Setting Professional Modifier None (both parts) Typical Low $446.68 Median $954.99 Typical High $2,089.30 | Professional | None (both parts) | $446.68 | $954.99 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $812.83 Typical High $1,584.89 | Professional | 26 · Professional part | $288.40 | $812.83 | $1,584.89 |
Medica Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $251.19 Typical High $524.81 | Professional | TC · Technical part | $112.20 | $251.19 | $524.81 |
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 $891.25 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $891.25 | $891.25 | $891.25 |
Prevea360 Setting Facility Modifier None Typical Low $346.74 Median $575.44 Typical High $1,096.48 | Facility | None | $346.74 | $575.44 | $1,096.48 |
Quartz Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $1,778.28 | Professional | None | $630.96 | $776.25 | $1,778.28 |
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 $426.58 Median $426.58 Typical High $977.24 | Professional | None (both parts) | $426.58 | $426.58 | $977.24 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $707.95 | Professional | 26 · Professional part | $331.13 | $331.13 | $707.95 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $229.09 | Professional | TC · Technical part | $95.50 | $95.50 | $229.09 |
Security Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,187.76 Typical High $3,019.95 | Professional | None (both parts) | $1,737.80 | $2,187.76 | $3,019.95 |
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 $426.58 Median $1,148.15 Typical High $2,137.96 | Professional | None (both parts) | $426.58 | $1,148.15 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $776.25 Typical High $1,584.89 | Professional | 26 · Professional part | $275.42 | $776.25 | $1,584.89 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $275.42 Typical High $524.81 | Professional | TC · Technical part | $114.82 | $275.42 | $524.81 |
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 $275.42 Median $275.42 Typical High $1,258.93 | Professional | 52 · Reduced service | $275.42 | $275.42 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $501.19 | Professional | 53 · Discontinued | $109.65 | $109.65 | $501.19 |
Where Wisconsin sits
The same service costs 9.5 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· 7th of 51
$1,230
LA $3,090NY $324
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.