How much rates vary
Facilitymedian $575 · 10th to 90th $407 to $1,259Professionalmedian $776 · 10th to 90th $355 to $2,089
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 $407.38 Median $407.38 Typical High $446.68 | Facility | None | $407.38 | $407.38 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $407.38 Typical High $1,174.90 | Professional | None (both parts) | $389.05 | $407.38 | $1,174.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $416.87 | Professional | 26 · Professional part | $58.88 | $58.88 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $346.74 Typical High $389.05 | Professional | TC · Technical part | $323.59 | $346.74 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $954.99 Typical High $2,089.30 | Professional | None (both parts) | $354.81 | $954.99 | $2,089.30 |
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 $295.12 Median $812.83 Typical High $1,778.28 | Professional | TC · Technical part | $295.12 | $812.83 | $1,778.28 |
CareSource Setting Professional Modifier None (both parts) Typical Low $67.61 Median $398.11 Typical High $467.74 | Professional | None (both parts) | $67.61 | $398.11 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,819.70 | Facility | None | $1,071.52 | $1,202.26 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $707.95 Typical High $1,288.25 | Professional | None (both parts) | $416.87 | $707.95 | $1,288.25 |
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 $354.81 Median $660.69 Typical High $1,122.02 | Professional | TC · Technical part | $354.81 | $660.69 | $1,122.02 |
DeanCare Setting Facility Modifier None Typical Low $363.08 Median $457.09 Typical High $831.76 | Facility | None | $363.08 | $457.09 | $831.76 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $691.83 Median $812.83 Typical High $1,096.48 | Professional | None (both parts) | $691.83 | $812.83 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $616.60 Typical High $831.76 | Facility | None | $426.58 | $616.60 | $831.76 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $1,318.26 Typical High $2,454.71 | Professional | None (both parts) | $309.03 | $1,318.26 | $2,454.71 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $213.80 Typical High $354.81 | Professional | 26 · Professional part | $75.86 | $213.80 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $1,096.48 Typical High $2,089.30 | Professional | TC · Technical part | $263.03 | $1,096.48 | $2,089.30 |
Network Health Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $831.76 | Facility | None | $562.34 | $562.34 | $831.76 |
Network Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $489.78 Typical High $954.99 | Professional | None (both parts) | $288.40 | $489.78 | $954.99 |
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 $309.03 Median $575.44 Typical High $831.76 | Professional | TC · Technical part | $309.03 | $575.44 | $831.76 |
Prevea360 Setting Facility Modifier None Typical Low $363.08 Median $457.09 Typical High $831.76 | Facility | None | $363.08 | $457.09 | $831.76 |
Quartz Setting Professional Modifier None Typical Low $457.09 Median $912.01 Typical High $1,230.27 | Professional | None | $457.09 | $912.01 | $1,230.27 |
Quartz Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $933.25 | Professional | None (both parts) | $416.87 | $416.87 | $933.25 |
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 $354.81 Median $354.81 Typical High $794.33 | Professional | TC · Technical part | $354.81 | $354.81 | $794.33 |
Security Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
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 $398.11 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $398.11 | $398.11 | $398.11 |
Security Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,258.93 Typical High $2,344.23 | Professional | None (both parts) | $676.08 | $1,258.93 | $2,344.23 |
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 $398.11 Median $741.31 Typical High $1,096.48 | Professional | TC · Technical part | $398.11 | $741.31 | $1,096.48 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,148.15 Typical High $1,380.38 | Professional | None (both parts) | $724.44 | $1,148.15 | $1,380.38 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $154.88 Typical High $239.88 | Professional | 26 · Professional part | $100.00 | $154.88 | $239.88 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $851.14 Typical High $1,174.90 | Professional | TC · Technical part | $602.56 | $851.14 | $1,174.90 |
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 $316.23 Median $794.33 Typical High $1,479.11 | Professional | None (both parts) | $316.23 | $794.33 | $1,479.11 |
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 $251.19 Median $676.08 Typical High $1,258.93 | Professional | TC · Technical part | $251.19 | $676.08 | $1,258.93 |
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 $199.53 Median $199.53 Typical High $588.84 | Professional | 52 · Reduced service | $199.53 | $199.53 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $234.42 | Professional | 53 · Discontinued | $81.28 | $81.28 | $234.42 |
Where Wisconsin sits
The same service costs 3.0 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
$776
AK $794NM $269
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.