How much rates vary
Facilitymedian $347 · 10th to 90th $209 to $661Professionalmedian $513 · 10th to 90th $295 to $1,288
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 TC · Technical part Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | TC · Technical part | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $478.63 Typical High $524.81 | Professional | None (both parts) | $288.40 | $478.63 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $131.83 Typical High $416.87 | Professional | 26 · Professional part | $128.82 | $131.83 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $194.98 | $194.98 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $436.52 Typical High $1,047.13 | Professional | None (both parts) | $295.12 | $436.52 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $173.78 Typical High $416.87 | Professional | 26 · Professional part | $117.49 | $173.78 | $416.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $295.12 Typical High $630.96 | Professional | TC · Technical part | $177.83 | $295.12 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $338.84 Typical High $501.19 | Facility | None | $295.12 | $338.84 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $512.86 Typical High $776.25 | Professional | None (both parts) | $213.80 | $512.86 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $208.93 Typical High $316.23 | Professional | 26 · Professional part | $85.11 | $208.93 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $457.09 | Professional | TC · Technical part | $302.00 | $302.00 | $457.09 |
DeanCare Setting Facility Modifier None Typical Low $208.93 Median $223.87 Typical High $549.54 | Facility | None | $208.93 | $223.87 | $549.54 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $416.87 Typical High $1,348.96 | Facility | None | $18.20 | $416.87 | $1,348.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $338.84 Median $851.14 Typical High $1,862.09 | Professional | None (both parts) | $338.84 | $851.14 | $1,862.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $302.00 Typical High $741.31 | Professional | 26 · Professional part | $128.82 | $302.00 | $741.31 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $426.58 Typical High $1,122.02 | Professional | TC · Technical part | $190.55 | $426.58 | $1,122.02 |
Network Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $676.08 | $758.58 | $758.58 |
Prevea360 Setting Facility Modifier None Typical Low $208.93 Median $223.87 Typical High $549.54 | Facility | None | $208.93 | $223.87 | $549.54 |
Quartz Setting Professional Modifier None Typical Low $363.08 Median $660.69 Typical High $977.24 | Professional | None | $363.08 | $660.69 | $977.24 |
Quartz Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $588.84 | Professional | None (both parts) | $512.86 | $512.86 | $588.84 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $251.19 | Professional | 26 · Professional part | $208.93 | $208.93 | $251.19 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | TC · Technical part | $302.00 | $302.00 | $363.08 |
Security Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $208.93 | Professional | None (both parts) | $181.97 | $181.97 | $208.93 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | 26 · Professional part | $58.88 | $58.88 | $67.61 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $489.78 Typical High $1,071.52 | Professional | None (both parts) | $302.00 | $489.78 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $199.53 Typical High $436.52 | Professional | 26 · Professional part | $123.03 | $199.53 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $288.40 Typical High $616.60 | Professional | TC · Technical part | $177.83 | $288.40 | $616.60 |
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 $144.54 Median $234.42 Typical High $263.03 | Professional | 52 · Reduced service | $144.54 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $95.50 Typical High $104.71 | Professional | 53 · Discontinued | $57.54 | $95.50 | $104.71 |
Where Wisconsin sits
The same service costs 9.8 times more in Alaska 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· 4th of 51
$513
AK $631NY $64.57
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.