How much rates vary
Facilitymedian $195 · 10th to 90th $100 to $437Professionalmedian $219 · 10th to 90th $98 to $891
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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $645.65 | Professional | None (both parts) | $100.00 | $100.00 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $512.86 | Professional | 26 · Professional part | $39.81 | $39.81 | $512.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $58.88 | $58.88 | $58.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $251.19 Typical High $512.86 | Professional | None (both parts) | $97.72 | $251.19 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $102.33 Typical High $204.17 | Professional | 26 · Professional part | $38.90 | $102.33 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $151.36 Typical High $302.00 | Professional | TC · Technical part | $58.88 | $151.36 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $288.40 Typical High $436.52 | Facility | None | $257.04 | $288.40 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $102.33 | $169.82 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $40.74 | $74.13 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $102.33 Typical High $186.21 | Professional | TC · Technical part | $61.66 | $102.33 | $186.21 |
DeanCare Setting Facility Modifier None Typical Low $35.48 Median $112.20 Typical High $199.53 | Facility | None | $35.48 | $112.20 | $199.53 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $123.03 Median $181.97 Typical High $257.04 | Professional | None (both parts) | $123.03 | $181.97 | $257.04 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $131.83 Typical High $1,348.96 | Facility | None | $35.48 | $131.83 | $1,348.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $933.25 Typical High $1,548.82 | Professional | None (both parts) | $141.25 | $933.25 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $144.54 Typical High $257.04 | Professional | 26 · Professional part | $51.29 | $144.54 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $776.25 Typical High $1,513.56 | Professional | TC · Technical part | $72.44 | $776.25 | $1,513.56 |
Network Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $70.79 Typical High $100.00 | Professional | 26 · Professional part | $35.48 | $70.79 | $100.00 |
Prevea360 Setting Facility Modifier None Typical Low $35.48 Median $112.20 Typical High $199.53 | Facility | None | $35.48 | $112.20 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $109.65 Median $218.78 Typical High $288.40 | Professional | None | $109.65 | $218.78 | $288.40 |
Quartz Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $213.80 | Professional | None (both parts) | $102.33 | $102.33 | $213.80 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $93.33 | Professional | 26 · Professional part | $40.74 | $40.74 | $93.33 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $123.03 | Professional | TC · Technical part | $61.66 | $61.66 | $123.03 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
Security Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $97.72 Typical High $120.23 | Professional | 26 · Professional part | $47.86 | $97.72 | $120.23 |
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 $128.82 Median $489.78 Typical High $1,071.52 | Professional | None (both parts) | $128.82 | $489.78 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $87.10 Typical High $165.96 | Professional | 26 · Professional part | $43.65 | $87.10 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $407.38 Typical High $891.25 | Professional | TC · Technical part | $70.79 | $407.38 | $891.25 |
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 $48.98 Median $48.98 Typical High $323.59 | Professional | 52 · Reduced service | $48.98 | $48.98 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $128.82 | Professional | 53 · Discontinued | $19.95 | $19.95 | $128.82 |
Where Wisconsin sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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
$219
HI $309KY $57.54
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.