How much rates vary
Facilitymedian $229 · 10th to 90th $115 to $355Professionalmedian $245 · 10th to 90th $115 to $589
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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $575.44 | Professional | None (both parts) | $114.82 | $114.82 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $478.63 | Professional | 26 · Professional part | $52.48 | $52.48 | $478.63 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $66.07 | Professional | TC · Technical part | $63.10 | $63.10 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $302.00 Typical High $588.84 | Professional | None (both parts) | $117.49 | $302.00 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $134.90 Typical High $269.15 | Professional | 26 · Professional part | $51.29 | $134.90 | $269.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $173.78 Typical High $323.59 | Professional | TC · Technical part | $67.61 | $173.78 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $338.84 Typical High $512.86 | Facility | None | $302.00 | $338.84 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $218.78 Typical High $380.19 | Professional | None (both parts) | $120.23 | $218.78 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $53.70 | $97.72 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $117.49 Typical High $204.17 | Professional | TC · Technical part | $64.57 | $117.49 | $204.17 |
DeanCare Setting Facility Modifier None Typical Low $102.33 Median $131.83 Typical High $234.42 | Facility | None | $102.33 | $131.83 | $234.42 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $194.98 | $229.09 | $309.03 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $165.96 | Professional | TC · Technical part | $107.15 | $128.82 | $165.96 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $151.36 Typical High $331.13 | Facility | None | $102.33 | $151.36 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $436.52 Typical High $794.33 | Professional | None (both parts) | $125.89 | $436.52 | $794.33 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $190.55 Typical High $371.54 | Professional | 26 · Professional part | $67.61 | $190.55 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $239.88 Typical High $478.63 | Professional | TC · Technical part | $66.07 | $239.88 | $478.63 |
Network Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $257.04 | Facility | None | $177.83 | $177.83 | $257.04 |
Network Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $138.04 Typical High $288.40 | Professional | None (both parts) | $83.18 | $138.04 | $288.40 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $93.33 Typical High $131.83 | Professional | 26 · Professional part | $46.77 | $93.33 | $131.83 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $56.23 | $104.71 | $173.78 |
Prevea360 Setting Facility Modifier None Typical Low $102.33 Median $131.83 Typical High $234.42 | Facility | None | $102.33 | $131.83 | $234.42 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $263.03 Typical High $363.08 | Professional | None | $131.83 | $263.03 | $363.08 |
Quartz Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $275.42 | Professional | None (both parts) | $120.23 | $120.23 | $275.42 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $53.70 | $123.03 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $151.36 | Professional | TC · Technical part | $64.57 | $64.57 | $151.36 |
Security Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $79.43 | $79.43 | $79.43 |
Security Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $512.86 Typical High $741.31 | Professional | None (both parts) | $275.42 | $512.86 | $741.31 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $128.82 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $128.82 | $158.49 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $173.78 Typical High $234.42 | Professional | TC · Technical part | $79.43 | $173.78 | $234.42 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $213.80 Median $331.13 Typical High $478.63 | Professional | None (both parts) | $213.80 | $331.13 | $478.63 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $141.25 Typical High $213.80 | Professional | 26 · Professional part | $91.20 | $141.25 | $213.80 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $251.19 Typical High $489.78 | Professional | None (both parts) | $120.23 | $251.19 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $114.82 Typical High $218.78 | Professional | 26 · Professional part | $54.95 | $114.82 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $147.91 Typical High $275.42 | Professional | TC · Technical part | $61.66 | $147.91 | $275.42 |
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 $57.54 Median $57.54 Typical High $288.40 | Professional | 52 · Reduced service | $57.54 | $57.54 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $114.82 | Professional | 53 · Discontinued | $22.91 | $22.91 | $114.82 |
Where Wisconsin sits
The same service costs 3.9 times more in Alaska than in Texas. 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
$245
AK $282TX $72.44
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.