How much rates vary
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 None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $2,454.71 | Professional | None (both parts) | $363.08 | $363.08 | $2,454.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $707.95 | Professional | 26 · Professional part | $58.88 | $58.88 | $707.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $354.81 | Professional | TC · Technical part | $302.00 | $302.00 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $912.01 Typical High $1,862.09 | Professional | None (both parts) | $316.23 | $912.01 | $1,862.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $147.91 Typical High $302.00 | Professional | 26 · Professional part | $57.54 | $147.91 | $302.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $758.58 Typical High $1,548.82 | Professional | TC · Technical part | $257.04 | $758.58 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,096.48 Typical High $1,621.81 | Facility | None | $954.99 | $1,096.48 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $724.44 Typical High $1,148.15 | Professional | None (both parts) | $371.54 | $724.44 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $109.65 Typical High $186.21 | Professional | 26 · Professional part | $60.26 | $109.65 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $537.03 Typical High $977.24 | Professional | TC · Technical part | $316.23 | $537.03 | $977.24 |
DeanCare Setting Facility Modifier None Typical Low $323.59 Median $416.87 Typical High $741.31 | Facility | None | $323.59 | $416.87 | $741.31 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $616.60 Median $724.44 Typical High $977.24 | Professional | None (both parts) | $616.60 | $724.44 | $977.24 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $616.60 Typical High $794.33 | Professional | TC · Technical part | $524.81 | $616.60 | $794.33 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $794.33 Typical High $1,230.27 | Facility | None | $338.84 | $794.33 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $338.84 Median $1,174.90 Typical High $2,238.72 | Professional | None (both parts) | $338.84 | $1,174.90 | $2,238.72 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $213.80 Typical High $776.25 | Professional | 26 · Professional part | $74.13 | $213.80 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $977.24 Typical High $1,862.09 | Professional | TC · Technical part | $275.42 | $977.24 | $1,862.09 |
Network Health Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $912.01 | Facility | None | $512.86 | $512.86 | $912.01 |
Network Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $436.52 Typical High $891.25 | Professional | None (both parts) | $257.04 | $436.52 | $891.25 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $104.71 Typical High $144.54 | Professional | 26 · Professional part | $52.48 | $104.71 | $144.54 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $537.03 Typical High $741.31 | Professional | TC · Technical part | $269.15 | $537.03 | $741.31 |
Prevea360 Setting Facility Modifier None Typical Low $323.59 Median $416.87 Typical High $741.31 | Facility | None | $323.59 | $416.87 | $741.31 |
Quartz Setting Professional Modifier None Typical Low $426.58 Median $851.14 Typical High $1,148.15 | Professional | None | $426.58 | $851.14 | $1,148.15 |
Quartz Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $851.14 | Professional | None (both parts) | $371.54 | $371.54 | $851.14 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $138.04 | Professional | 26 · Professional part | $60.26 | $60.26 | $138.04 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $707.95 | Professional | TC · Technical part | $316.23 | $316.23 | $707.95 |
Security Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $354.81 | $354.81 | $354.81 |
Security Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,380.38 Typical High $2,137.96 | Professional | None (both parts) | $724.44 | $1,380.38 | $2,137.96 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $144.54 Typical High $173.78 | Professional | 26 · Professional part | $70.79 | $144.54 | $173.78 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $645.65 Typical High $1,202.26 | Professional | TC · Technical part | $354.81 | $645.65 | $1,202.26 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $676.08 Median $891.25 Typical High $1,445.44 | Professional | None (both parts) | $676.08 | $891.25 | $1,445.44 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $162.18 Typical High $239.88 | Professional | 26 · Professional part | $104.71 | $162.18 | $239.88 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $724.44 Typical High $1,348.96 | Professional | None (both parts) | $323.59 | $724.44 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $128.82 Typical High $245.47 | Professional | 26 · Professional part | $60.26 | $128.82 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $602.56 Typical High $1,096.48 | Professional | TC · Technical part | $263.03 | $602.56 | $1,096.48 |
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 $181.97 Median $181.97 Typical High $1,230.27 | Professional | 52 · Reduced service | $181.97 | $181.97 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $489.78 | Professional | 53 · Discontinued | $72.44 | $72.44 | $489.78 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 2nd of 51
$741
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.