How much rates vary
Facilitymedian $240 · 10th to 90th $115 to $724Professionalmedian $209 · 10th to 90th $115 to $692
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 $676.08 | Professional | None (both parts) | $114.82 | $114.82 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $724.44 | Professional | 26 · Professional part | $67.61 | $67.61 | $724.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $46.77 | $46.77 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $177.83 Typical High $691.83 | Professional | None (both parts) | $67.61 | $177.83 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $151.36 Typical High $426.58 | Professional | 26 · Professional part | $67.61 | $151.36 | $426.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $114.82 Typical High $338.84 | Professional | TC · Technical part | $54.95 | $114.82 | $338.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $50.12 Median $83.18 Typical High $138.04 | Professional | None (both parts) | $50.12 | $83.18 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $338.84 Typical High $501.19 | Facility | None | $295.12 | $338.84 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $213.80 Typical High $371.54 | Professional | None (both parts) | $120.23 | $213.80 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $125.89 Typical High $208.93 | Professional | 26 · Professional part | $70.79 | $125.89 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $89.13 Typical High $162.18 | Professional | TC · Technical part | $48.98 | $89.13 | $162.18 |
DeanCare Setting Facility Modifier None Typical Low $102.33 Median $131.83 Typical High $239.88 | Facility | None | $102.33 | $131.83 | $239.88 |
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 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $630.96 Typical High $851.14 | Facility | None | $123.03 | $630.96 | $851.14 |
Medica Setting Professional Modifier None (both parts) Typical Low $158.49 Median $436.52 Typical High $724.44 | Professional | None (both parts) | $158.49 | $436.52 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $245.47 Typical High $416.87 | Professional | 26 · Professional part | $89.13 | $245.47 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $69.18 | $190.55 | $316.23 |
Network Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $234.42 | Facility | None | $177.83 | $177.83 | $234.42 |
Network Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $123.03 Typical High $288.40 | Professional | None (both parts) | $83.18 | $123.03 | $288.40 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $93.33 Typical High $173.78 | Professional | 26 · Professional part | $60.26 | $93.33 | $173.78 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $74.13 Typical High $144.54 | Professional | TC · Technical part | $42.66 | $74.13 | $144.54 |
Prevea360 Setting Facility Modifier None Typical Low $102.33 Median $131.83 Typical High $239.88 | Facility | None | $102.33 | $131.83 | $239.88 |
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 $70.79 Median $70.79 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $70.79 | $158.49 |
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 $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 $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $60.26 | $60.26 | $60.26 |
Security Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $371.54 Typical High $758.58 | Professional | None (both parts) | $165.96 | $371.54 | $758.58 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $169.82 Typical High $199.53 | Professional | 26 · Professional part | $83.18 | $169.82 | $199.53 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $141.25 Typical High $158.49 | Professional | TC · Technical part | $60.26 | $141.25 | $158.49 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $208.93 Median $323.59 Typical High $478.63 | Professional | None (both parts) | $208.93 | $323.59 | $478.63 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $186.21 Typical High $275.42 | Professional | 26 · Professional part | $120.23 | $186.21 | $275.42 |
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 $134.90 Median $269.15 Typical High $524.81 | Professional | None (both parts) | $134.90 | $269.15 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $151.36 Typical High $288.40 | Professional | 26 · Professional part | $75.86 | $151.36 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $117.49 Typical High $245.47 | Professional | TC · Technical part | $58.88 | $117.49 | $245.47 |
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 $354.81 | Professional | 52 · Reduced service | $57.54 | $57.54 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $141.25 | Professional | 53 · Discontinued | $22.91 | $22.91 | $141.25 |
Where Wisconsin sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 8th of 51
$209
AK $275UT $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.