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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $2,290.87 | Professional | None (both parts) | $162.18 | $162.18 | $2,290.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $2,187.76 | Professional | 26 · Professional part | $83.18 | $83.18 | $2,187.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | TC · Technical part | $77.62 | $77.62 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $436.52 Typical High $831.76 | Professional | None (both parts) | $169.82 | $436.52 | $831.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $213.80 Typical High $426.58 | Professional | 26 · Professional part | $81.28 | $213.80 | $426.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $223.87 Typical High $398.11 | Professional | TC · Technical part | $87.10 | $223.87 | $398.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $194.98 | Professional | None (both parts) | $83.18 | $102.33 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $478.63 Typical High $707.95 | Facility | None | $416.87 | $478.63 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $302.00 Typical High $512.86 | Professional | None (both parts) | $165.96 | $302.00 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $154.88 Typical High $269.15 | Professional | 26 · Professional part | $87.10 | $154.88 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $81.28 | $138.04 | $251.19 |
DeanCare Setting Facility Modifier None Typical Low $144.54 Median $181.97 Typical High $331.13 | Facility | None | $144.54 | $181.97 | $331.13 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $275.42 Median $323.59 Typical High $436.52 | Professional | None (both parts) | $275.42 | $323.59 | $436.52 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $218.78 Typical High $331.13 | Facility | None | $144.54 | $218.78 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $616.60 Typical High $1,047.13 | Professional | None (both parts) | $173.78 | $616.60 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $302.00 Typical High $512.86 | Professional | 26 · Professional part | $107.15 | $302.00 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $316.23 Typical High $549.54 | Professional | TC · Technical part | $72.44 | $316.23 | $549.54 |
Network Health Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $354.81 | Facility | None | $257.04 | $257.04 | $354.81 |
Network Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $194.98 Typical High $416.87 | Professional | None (both parts) | $114.82 | $194.98 | $416.87 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $74.13 | $151.36 | $208.93 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $128.82 Typical High $213.80 | Professional | TC · Technical part | $69.18 | $128.82 | $213.80 |
Prevea360 Setting Facility Modifier None Typical Low $144.54 Median $181.97 Typical High $331.13 | Facility | None | $144.54 | $181.97 | $331.13 |
Quartz Setting Professional Modifier None Typical Low $177.83 Median $363.08 Typical High $501.19 | Professional | None | $177.83 | $363.08 | $501.19 |
Quartz Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $389.05 | Professional | None (both parts) | $165.96 | $165.96 | $389.05 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $194.98 | Professional | 26 · Professional part | $87.10 | $87.10 | $194.98 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $194.98 | Professional | TC · Technical part | $81.28 | $81.28 | $194.98 |
Security Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $104.71 | $104.71 | $104.71 |
Security Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $537.03 Typical High $1,071.52 | Professional | None (both parts) | $245.47 | $537.03 | $1,071.52 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $208.93 Typical High $251.19 | Professional | 26 · Professional part | $100.00 | $208.93 | $251.19 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $223.87 Typical High $281.84 | Professional | TC · Technical part | $104.71 | $223.87 | $281.84 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $223.87 Typical High $338.84 | Professional | 26 · Professional part | $144.54 | $223.87 | $338.84 |
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 $162.18 Median $354.81 Typical High $707.95 | Professional | None (both parts) | $162.18 | $354.81 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $181.97 Typical High $346.74 | Professional | 26 · Professional part | $87.10 | $181.97 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $181.97 Typical High $363.08 | Professional | TC · Technical part | $61.66 | $181.97 | $363.08 |
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 $81.28 Median $81.28 Typical High $1,148.15 | Professional | 52 · Reduced service | $81.28 | $81.28 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $457.09 | Professional | 53 · Discontinued | $32.36 | $32.36 | $457.09 |
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
$339
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.