How much rates vary
Facilitymedian $282 · 10th to 90th $138 to $741Professionalmedian $282 · 10th to 90th $138 to $871
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $1,288.25 | Professional | None (both parts) | $138.04 | $138.04 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $851.14 | Professional | 26 · Professional part | $81.28 | $81.28 | $851.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $81.28 | Professional | TC · Technical part | $57.54 | $57.54 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $323.59 Typical High $933.25 | Professional | None (both parts) | $144.54 | $323.59 | $933.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $181.97 Typical High $512.86 | Professional | 26 · Professional part | $79.43 | $181.97 | $512.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $141.25 Typical High $407.38 | Professional | TC · Technical part | $64.57 | $141.25 | $407.38 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $60.26 | $100.00 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $407.38 Typical High $616.60 | Facility | None | $363.08 | $407.38 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $257.04 Typical High $446.68 | Professional | None (both parts) | $144.54 | $257.04 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $151.36 Typical High $251.19 | Professional | 26 · Professional part | $85.11 | $151.36 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $58.88 | $107.15 | $194.98 |
DeanCare Setting Facility Modifier None Typical Low $123.03 Median $158.49 Typical High $281.84 | Facility | None | $123.03 | $158.49 | $281.84 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $371.54 | Professional | None (both parts) | $234.42 | $275.42 | $371.54 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $162.18 | Professional | TC · Technical part | $97.72 | $114.82 | $162.18 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $660.69 Typical High $851.14 | Facility | None | $147.91 | $660.69 | $851.14 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $524.81 Typical High $870.96 | Professional | None (both parts) | $190.55 | $524.81 | $870.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $295.12 Typical High $501.19 | Professional | 26 · Professional part | $107.15 | $295.12 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $229.09 Typical High $380.19 | Professional | TC · Technical part | $83.18 | $229.09 | $380.19 |
Network Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $281.84 | Facility | None | $213.80 | $213.80 | $281.84 |
Network Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $147.91 Typical High $346.74 | Professional | None (both parts) | $100.00 | $147.91 | $346.74 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $112.20 Typical High $208.93 | Professional | 26 · Professional part | $72.44 | $112.20 | $208.93 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $89.13 Typical High $169.82 | Professional | TC · Technical part | $51.29 | $89.13 | $169.82 |
Prevea360 Setting Facility Modifier None Typical Low $123.03 Median $158.49 Typical High $281.84 | Facility | None | $123.03 | $158.49 | $281.84 |
Quartz Setting Professional Modifier None Typical Low $158.49 Median $316.23 Typical High $436.52 | Professional | None | $158.49 | $316.23 | $436.52 |
Quartz Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $331.13 | Professional | None (both parts) | $144.54 | $144.54 | $331.13 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $190.55 | Professional | 26 · Professional part | $85.11 | $85.11 | $190.55 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $138.04 | Professional | TC · Technical part | $58.88 | $58.88 | $138.04 |
Security Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $97.72 | $97.72 | $97.72 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $72.44 | $72.44 | $72.44 |
Security Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $436.52 Typical High $891.25 | Professional | None (both parts) | $194.98 | $436.52 | $891.25 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $204.17 Typical High $239.88 | Professional | 26 · Professional part | $97.72 | $204.17 | $239.88 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $165.96 Typical High $186.21 | Professional | TC · Technical part | $72.44 | $165.96 | $186.21 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $251.19 Median $389.05 Typical High $575.44 | Professional | None (both parts) | $251.19 | $389.05 | $575.44 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $218.78 Typical High $331.13 | Professional | 26 · Professional part | $144.54 | $218.78 | $331.13 |
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 $162.18 Median $323.59 Typical High $630.96 | Professional | None (both parts) | $162.18 | $323.59 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $177.83 Typical High $338.84 | Professional | 26 · Professional part | $91.20 | $177.83 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $141.25 Typical High $288.40 | Professional | TC · Technical part | $70.79 | $141.25 | $288.40 |
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 $69.18 Median $69.18 Typical High $645.65 | Professional | 52 · Reduced service | $69.18 | $69.18 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $257.04 | Professional | 53 · Discontinued | $27.54 | $27.54 | $257.04 |
Where Wisconsin sits
The same service costs 4.0 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· 5th of 51
$282
AK $339TX $85.11
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.