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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $1,659.59 | Professional | None (both parts) | $457.09 | $457.09 | $1,659.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $575.44 | Professional | 26 · Professional part | $89.13 | $89.13 | $575.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $371.54 Typical High $407.38 | Professional | TC · Technical part | $354.81 | $371.54 | $407.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $1,122.02 Typical High $2,398.83 | Professional | None (both parts) | $398.11 | $1,122.02 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $229.09 Typical High $457.09 | Professional | 26 · Professional part | $85.11 | $229.09 | $457.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $891.25 Typical High $1,905.46 | Professional | TC · Technical part | $309.03 | $891.25 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,380.38 Typical High $2,089.30 | Facility | None | $1,230.27 | $1,380.38 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $870.96 Typical High $1,479.11 | Professional | None (both parts) | $478.63 | $870.96 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $177.83 Typical High $288.40 | Professional | 26 · Professional part | $91.20 | $177.83 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $660.69 Typical High $1,202.26 | Professional | TC · Technical part | $389.05 | $660.69 | $1,202.26 |
DeanCare Setting Facility Modifier None Typical Low $407.38 Median $524.81 Typical High $933.25 | Facility | None | $407.38 | $524.81 | $933.25 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $794.33 Median $933.25 Typical High $1,230.27 | Professional | None (both parts) | $794.33 | $933.25 | $1,230.27 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $741.31 Typical High $977.24 | Professional | TC · Technical part | $645.65 | $741.31 | $977.24 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $575.44 Typical High $933.25 | Facility | None | $407.38 | $575.44 | $933.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,479.11 Typical High $2,754.23 | Professional | None (both parts) | $426.58 | $1,479.11 | $2,754.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $323.59 Typical High $776.25 | Professional | 26 · Professional part | $117.49 | $323.59 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $1,148.15 Typical High $2,187.76 | Professional | TC · Technical part | $316.23 | $1,148.15 | $2,187.76 |
Network Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $1,047.13 | Facility | None | $630.96 | $630.96 | $1,047.13 |
Network Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $549.54 Typical High $1,096.48 | Professional | None (both parts) | $331.13 | $549.54 | $1,096.48 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $158.49 Typical High $218.78 | Professional | 26 · Professional part | $79.43 | $158.49 | $218.78 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $660.69 Typical High $912.01 | Professional | TC · Technical part | $331.13 | $660.69 | $912.01 |
Prevea360 Setting Facility Modifier None Typical Low $407.38 Median $524.81 Typical High $933.25 | Facility | None | $407.38 | $524.81 | $933.25 |
Quartz Setting Professional Modifier None Typical Low $537.03 Median $1,071.52 Typical High $1,445.44 | Professional | None | $537.03 | $1,071.52 | $1,445.44 |
Quartz Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $1,047.13 | Professional | None (both parts) | $478.63 | $478.63 | $1,047.13 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $208.93 | Professional | 26 · Professional part | $91.20 | $91.20 | $208.93 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $831.76 | Professional | TC · Technical part | $389.05 | $389.05 | $831.76 |
Security Health Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $426.58 | $426.58 | $426.58 |
Security Health Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,584.89 Typical High $2,630.27 | Professional | None (both parts) | $707.95 | $1,584.89 | $2,630.27 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $218.78 Typical High $275.42 | Professional | 26 · Professional part | $107.15 | $218.78 | $275.42 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $776.25 Typical High $1,318.26 | Professional | TC · Technical part | $426.58 | $776.25 | $1,318.26 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,122.02 Typical High $1,698.24 | Professional | None (both parts) | $851.14 | $1,122.02 | $1,698.24 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $239.88 Typical High $363.08 | Professional | 26 · Professional part | $158.49 | $239.88 | $363.08 |
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 $407.38 Median $891.25 Typical High $1,698.24 | Professional | None (both parts) | $407.38 | $891.25 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $190.55 Typical High $363.08 | Professional | 26 · Professional part | $95.50 | $190.55 | $363.08 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $724.44 Typical High $1,318.26 | Professional | TC · Technical part | $309.03 | $724.44 | $1,318.26 |
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 $229.09 Median $229.09 Typical High $812.83 | Professional | 52 · Reduced service | $229.09 | $229.09 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $331.13 | Professional | 53 · Discontinued | $91.20 | $91.20 | $331.13 |
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
$912
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.