How much rates vary
Facilitymedian $158 · 10th to 90th $91 to $339Professionalmedian $155 · 10th to 90th $81 to $447
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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $436.52 | Professional | None (both parts) | $91.20 | $91.20 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $416.87 | Professional | 26 · Professional part | $45.71 | $45.71 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $47.86 | Professional | TC · Technical part | $44.67 | $44.67 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $141.25 Typical High $323.59 | Professional | None (both parts) | $81.28 | $141.25 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $70.79 Typical High $165.96 | Professional | 26 · Professional part | $44.67 | $70.79 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $69.18 Typical High $162.18 | Professional | TC · Technical part | $36.31 | $69.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $269.15 Typical High $398.11 | Facility | None | $234.42 | $269.15 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $169.82 Typical High $281.84 | Professional | None (both parts) | $93.33 | $169.82 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $47.86 | $85.11 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $85.11 Typical High $144.54 | Professional | TC · Technical part | $45.71 | $85.11 | $144.54 |
DeanCare Setting Facility Modifier None Typical Low $81.28 Median $102.33 Typical High $181.97 | Facility | None | $81.28 | $102.33 | $181.97 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $245.47 | Professional | None (both parts) | $154.88 | $181.97 | $245.47 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $120.23 Typical High $398.11 | Facility | None | $81.28 | $120.23 | $398.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $97.72 | $302.00 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $165.96 Typical High $316.23 | Professional | 26 · Professional part | $58.88 | $165.96 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $144.54 Typical High $316.23 | Professional | TC · Technical part | $38.02 | $144.54 | $316.23 |
Network Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $181.97 | Facility | None | $131.83 | $131.83 | $181.97 |
Network Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $109.65 Typical High $213.80 | Professional | None (both parts) | $64.57 | $109.65 | $213.80 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $83.18 Typical High $114.82 | Professional | 26 · Professional part | $40.74 | $83.18 | $114.82 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $79.43 Typical High $109.65 | Professional | TC · Technical part | $39.81 | $79.43 | $109.65 |
Prevea360 Setting Facility Modifier None Typical Low $81.28 Median $102.33 Typical High $181.97 | Facility | None | $81.28 | $102.33 | $181.97 |
Quartz Setting Professional Modifier None Typical Low $100.00 Median $199.53 Typical High $269.15 | Professional | None | $100.00 | $199.53 | $269.15 |
Quartz Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $213.80 | Professional | None (both parts) | $93.33 | $93.33 | $213.80 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $47.86 | $109.65 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $104.71 | Professional | TC · Technical part | $45.71 | $45.71 | $104.71 |
Security Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $54.95 | $54.95 | $54.95 |
Security Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $177.83 | $275.42 | $562.34 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $114.82 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $114.82 | $138.04 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $97.72 Typical High $138.04 | Professional | TC · Technical part | $54.95 | $97.72 | $138.04 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $181.97 Typical High $346.74 | Professional | None (both parts) | $87.10 | $181.97 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $100.00 Typical High $190.55 | Professional | 26 · Professional part | $48.98 | $100.00 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $89.13 Typical High $158.49 | Professional | TC · Technical part | $37.15 | $89.13 | $158.49 |
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 $44.67 Median $44.67 Typical High $218.78 | Professional | 52 · Reduced service | $44.67 | $44.67 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $89.13 | Professional | 53 · Discontinued | $18.20 | $18.20 | $89.13 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in Alabama. 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
$155
AK $219AL $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.