How much rates vary
Facilitymedian $1,585 · 10th to 90th $794 to $14,791Professionalmedian $933 · 10th to 90th $398 to $3,715
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 $794.33 Median $11,220.18 Typical High $14,454.40 | Facility | None | $794.33 | $11,220.18 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $3,311.31 | Professional | None (both parts) | $794.33 | $794.33 | $3,311.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $1,778.28 | Professional | 26 · Professional part | $316.23 | $316.23 | $1,778.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | TC · Technical part | $478.63 | $478.63 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,174.90 | $1,202.26 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $812.83 Typical High $3,162.28 | Professional | None (both parts) | $398.11 | $812.83 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $316.23 Typical High $1,258.93 | Professional | 26 · Professional part | $158.49 | $316.23 | $1,258.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $478.63 Typical High $1,905.46 | Professional | TC · Technical part | $239.88 | $478.63 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $2,187.76 | Facility | None | $1,288.25 | $1,479.11 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $741.31 Typical High $1,548.82 | Professional | None (both parts) | $616.60 | $741.31 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $281.84 Typical High $549.54 | Professional | 26 · Professional part | $245.47 | $281.84 | $549.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $501.19 Typical High $1,000.00 | Professional | TC · Technical part | $371.54 | $501.19 | $1,000.00 |
DeanCare Setting Facility Modifier None Typical Low $446.68 Median $562.34 Typical High $1,096.48 | Facility | None | $446.68 | $562.34 | $1,096.48 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $1,318.26 | Professional | None (both parts) | $933.25 | $933.25 | $1,318.26 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $338.84 Typical High $489.78 | Professional | 26 · Professional part | $295.12 | $338.84 | $489.78 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $1,778.28 Typical High $20,892.96 | Facility | None | $616.60 | $1,778.28 | $20,892.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $512.86 Median $3,019.95 Typical High $4,466.84 | Professional | None (both parts) | $512.86 | $3,019.95 | $4,466.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $1,148.15 Typical High $2,089.30 | Professional | 26 · Professional part | $204.17 | $1,148.15 | $2,089.30 |
Medica Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $1,862.09 Typical High $4,168.69 | Professional | TC · Technical part | $316.23 | $1,862.09 | $4,168.69 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $2,344.23 | Facility | None | $831.76 | $1,819.70 | $2,344.23 |
Network Health Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $1,288.25 | Professional | None (both parts) | $831.76 | $831.76 | $1,288.25 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $181.97 Typical High $457.09 | Professional | 26 · Professional part | $144.54 | $181.97 | $457.09 |
Prevea360 Setting Facility Modifier None Typical Low $446.68 Median $562.34 Typical High $1,096.48 | Facility | None | $446.68 | $562.34 | $1,096.48 |
Quartz Setting Professional Modifier None Typical Low $478.63 Median $1,000.00 Typical High $1,621.81 | Professional | None | $478.63 | $1,000.00 | $1,621.81 |
Quartz Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $1,047.13 | Professional | None (both parts) | $616.60 | $616.60 | $1,047.13 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $416.87 | Professional | 26 · Professional part | $245.47 | $245.47 | $416.87 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $630.96 | Professional | TC · Technical part | $371.54 | $371.54 | $630.96 |
Security Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $562.34 | $562.34 | $562.34 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | TC · Technical part | $1,000.00 | $1,000.00 | $1,000.00 |
Security Health Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $3,235.94 Typical High $4,168.69 | Professional | None (both parts) | $2,398.83 | $3,235.94 | $4,168.69 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $724.44 Typical High $977.24 | Professional | 26 · Professional part | $602.56 | $724.44 | $977.24 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,862.09 Typical High $23,442.29 | Facility | None | $1,023.29 | $1,862.09 | $23,442.29 |
United Setting Professional Modifier None (both parts) Typical Low $489.78 Median $954.99 Typical High $3,019.95 | Professional | None (both parts) | $489.78 | $954.99 | $3,019.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $363.08 Typical High $1,148.15 | Professional | 26 · Professional part | $186.21 | $363.08 | $1,148.15 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $602.56 Typical High $1,905.46 | Professional | TC · Technical part | $309.03 | $602.56 | $1,905.46 |
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 $398.11 Median $398.11 Typical High $1,659.59 | Professional | 52 · Reduced service | $398.11 | $398.11 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $660.69 | Professional | 53 · Discontinued | $158.49 | $158.49 | $660.69 |
Where Wisconsin sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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
$1,000
WI $1,000NC $331
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.