How much rates vary
Facilitymedian $132 · 10th to 90th $85 to $257Professionalmedian $174 · 10th to 90th $81 to $490
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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $549.54 | Professional | None (both parts) | $85.11 | $85.11 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $446.68 | Professional | 26 · Professional part | $38.02 | $38.02 | $446.68 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $53.70 | Professional | TC · Technical part | $46.77 | $46.77 | $53.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $208.93 Typical High $436.52 | Professional | None (both parts) | $81.28 | $208.93 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $95.50 Typical High $194.98 | Professional | 26 · Professional part | $37.15 | $95.50 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $117.49 Typical High $239.88 | Professional | TC · Technical part | $42.66 | $117.49 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $251.19 Typical High $380.19 | Facility | None | $223.87 | $251.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $87.10 | $158.49 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $39.81 | $70.79 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $87.10 Typical High $147.91 | Professional | TC · Technical part | $48.98 | $87.10 | $147.91 |
DeanCare Setting Facility Modifier None Typical Low $75.86 Median $97.72 Typical High $169.82 | Facility | None | $75.86 | $97.72 | $169.82 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $229.09 | Professional | None (both parts) | $144.54 | $169.82 | $229.09 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $97.72 Typical High $169.82 | Facility | None | $75.86 | $97.72 | $169.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $295.12 Typical High $549.54 | Professional | None (both parts) | $107.15 | $295.12 | $549.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $138.04 Typical High $234.42 | Professional | 26 · Professional part | $50.12 | $138.04 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $154.88 Typical High $316.23 | Professional | TC · Technical part | $58.88 | $154.88 | $316.23 |
Network Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $144.54 | Facility | None | $131.83 | $131.83 | $144.54 |
Network Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $102.33 Typical High $208.93 | Professional | None (both parts) | $60.26 | $102.33 | $208.93 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $57.54 Typical High $95.50 | Professional | 26 · Professional part | $33.88 | $57.54 | $95.50 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $83.18 Typical High $114.82 | Professional | TC · Technical part | $41.69 | $83.18 | $114.82 |
Prevea360 Setting Facility Modifier None Typical Low $75.86 Median $97.72 Typical High $169.82 | Facility | None | $75.86 | $97.72 | $169.82 |
Quartz Setting Professional Modifier None Typical Low $97.72 Median $194.98 Typical High $263.03 | Professional | None | $97.72 | $194.98 | $263.03 |
Quartz Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $204.17 | Professional | None (both parts) | $87.10 | $87.10 | $204.17 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $85.11 | Professional | 26 · Professional part | $39.81 | $39.81 | $85.11 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $114.82 | Professional | TC · Technical part | $48.98 | $48.98 | $114.82 |
Security Health Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $61.66 | $61.66 | $61.66 |
Security Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $234.42 Typical High $549.54 | Professional | None (both parts) | $169.82 | $234.42 | $549.54 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $85.11 Typical High $104.71 | Professional | 26 · Professional part | $46.77 | $85.11 | $104.71 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $61.66 | $104.71 | $141.25 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $158.49 | $229.09 | $363.08 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $66.07 | $102.33 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $181.97 Typical High $338.84 | Professional | None (both parts) | $89.13 | $181.97 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $39.81 | $79.43 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $102.33 Typical High $177.83 | Professional | TC · Technical part | $51.29 | $102.33 | $177.83 |
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 $42.66 Median $42.66 Typical High $275.42 | Professional | 52 · Reduced service | $42.66 | $42.66 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $109.65 | Professional | 53 · Discontinued | $16.98 | $16.98 | $109.65 |
Where Wisconsin sits
The same service costs 3.0 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· 3rd of 51
$170
AK $204TX $67.61
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.