How much rates vary
Facilitymedian $794 · 10th to 90th $468 to $1,445Professionalmedian $891 · 10th to 90th $417 to $2,399
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 $467.74 Median $467.74 Typical High $524.81 | Facility | None | $467.74 | $467.74 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $467.74 Typical High $1,288.25 | Professional | None (both parts) | $457.09 | $467.74 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $389.05 | Professional | 26 · Professional part | $58.88 | $58.88 | $389.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $407.38 Typical High $457.09 | Professional | TC · Technical part | $371.54 | $407.38 | $457.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $416.87 Median $1,122.02 Typical High $2,398.83 | Professional | None (both parts) | $416.87 | $1,122.02 | $2,398.83 |
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 $354.81 Median $954.99 Typical High $2,089.30 | Professional | TC · Technical part | $354.81 | $954.99 | $2,089.30 |
CareSource Setting Professional Modifier None (both parts) Typical Low $67.61 Median $467.74 Typical High $549.54 | Professional | None (both parts) | $67.61 | $467.74 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $2,089.30 | Facility | None | $1,230.27 | $1,412.54 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $831.76 Typical High $1,513.56 | Professional | None (both parts) | $489.78 | $831.76 | $1,513.56 |
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 $426.58 Median $724.44 Typical High $1,318.26 | Professional | TC · Technical part | $426.58 | $724.44 | $1,318.26 |
DeanCare Setting Facility Modifier None Typical Low $416.87 Median $537.03 Typical High $954.99 | Facility | None | $416.87 | $537.03 | $954.99 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $812.83 Median $954.99 Typical High $1,258.93 | Professional | None (both parts) | $812.83 | $954.99 | $1,258.93 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $831.76 Typical High $1,071.52 | Professional | TC · Technical part | $707.95 | $831.76 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $954.99 | Facility | None | $501.19 | $794.33 | $954.99 |
Medica Setting Professional Modifier None (both parts) Typical Low $331.13 Median $1,513.56 Typical High $2,884.03 | Professional | None (both parts) | $331.13 | $1,513.56 | $2,884.03 |
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 $288.40 Median $1,348.96 Typical High $2,511.89 | Professional | TC · Technical part | $288.40 | $1,348.96 | $2,511.89 |
Network Health Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $954.99 | Facility | None | $676.08 | $676.08 | $954.99 |
Network Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $562.34 Typical High $1,096.48 | Professional | None (both parts) | $331.13 | $562.34 | $1,096.48 |
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 $363.08 Median $676.08 Typical High $1,000.00 | Professional | TC · Technical part | $363.08 | $676.08 | $1,000.00 |
Prevea360 Setting Facility Modifier None Typical Low $416.87 Median $537.03 Typical High $954.99 | Facility | None | $416.87 | $537.03 | $954.99 |
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 $489.78 Median $489.78 Typical High $1,071.52 | Professional | None (both parts) | $489.78 | $489.78 | $1,071.52 |
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 $426.58 Median $426.58 Typical High $954.99 | Professional | TC · Technical part | $426.58 | $426.58 | $954.99 |
Security Health Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
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 $478.63 Median $478.63 Typical High $478.63 | Professional | TC · Technical part | $478.63 | $478.63 | $478.63 |
Security Health Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,445.44 Typical High $2,818.38 | Professional | None (both parts) | $776.25 | $1,445.44 | $2,818.38 |
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 $478.63 Median $870.96 Typical High $1,288.25 | Professional | TC · Technical part | $478.63 | $870.96 | $1,288.25 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,318.26 Typical High $2,137.96 | Professional | None (both parts) | $851.14 | $1,318.26 | $2,137.96 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $154.88 Typical High $269.15 | Professional | 26 · Professional part | $102.33 | $154.88 | $269.15 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,174.90 Typical High $1,621.81 | Professional | TC · Technical part | $724.44 | $1,174.90 | $1,621.81 |
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 $346.74 Median $933.25 Typical High $1,778.28 | Professional | None (both parts) | $346.74 | $933.25 | $1,778.28 |
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 $275.42 Median $812.83 Typical High $1,513.56 | Professional | TC · Technical part | $275.42 | $812.83 | $1,513.56 |
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 $234.42 Median $234.42 Typical High $645.65 | Professional | 52 · Reduced service | $234.42 | $234.42 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $257.04 | Professional | 53 · Discontinued | $93.33 | $93.33 | $257.04 |
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
$891
AK $933NM $309
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.