How much rates vary
Facilitymedian $245 · 10th to 90th $158 to $575Professionalmedian $331 · 10th to 90th $129 to $933
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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $933.25 | Professional | None (both parts) | $158.49 | $158.49 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $346.74 | Professional | 26 · Professional part | $28.18 | $28.18 | $346.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $154.88 | Professional | TC · Technical part | $131.83 | $131.83 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $407.38 Typical High $812.83 | Professional | None (both parts) | $128.82 | $407.38 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $72.44 Typical High $144.54 | Professional | 26 · Professional part | $27.54 | $72.44 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $338.84 Typical High $676.08 | Professional | TC · Technical part | $100.00 | $338.84 | $676.08 |
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 $281.84 Typical High $512.86 | Professional | None (both parts) | $165.96 | $281.84 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $52.48 Typical High $91.20 | Professional | 26 · Professional part | $29.51 | $52.48 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $229.09 Typical High $436.52 | Professional | TC · Technical part | $134.90 | $229.09 | $436.52 |
DeanCare Setting Facility Modifier None Typical Low $141.25 Median $181.97 Typical High $323.59 | Facility | None | $141.25 | $181.97 | $323.59 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $275.42 Median $309.03 Typical High $426.58 | Professional | None (both parts) | $275.42 | $309.03 | $426.58 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $72.44 | Professional | 26 · Professional part | $47.86 | $56.23 | $72.44 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $239.88 Typical High $338.84 | Professional | TC · Technical part | $223.87 | $239.88 | $338.84 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $239.88 Typical High $794.33 | Facility | None | $141.25 | $239.88 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $501.19 Typical High $1,174.90 | Professional | None (both parts) | $141.25 | $501.19 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $102.33 Typical High $602.56 | Professional | 26 · Professional part | $36.31 | $102.33 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $398.11 Typical High $1,000.00 | Professional | TC · Technical part | $112.20 | $398.11 | $1,000.00 |
Network Health Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $398.11 | Facility | None | $234.42 | $234.42 | $398.11 |
Network Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $190.55 Typical High $389.05 | Professional | None (both parts) | $114.82 | $190.55 | $389.05 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $25.12 | $51.29 | $70.79 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $234.42 Typical High $380.19 | Professional | TC · Technical part | $117.49 | $234.42 | $380.19 |
Prevea360 Setting Facility Modifier None Typical Low $141.25 Median $181.97 Typical High $323.59 | Facility | None | $141.25 | $181.97 | $323.59 |
Quartz Setting Professional Modifier None Typical Low $169.82 Median $338.84 Typical High $501.19 | Professional | None | $169.82 | $338.84 | $501.19 |
Quartz Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $436.52 | Professional | None (both parts) | $165.96 | $165.96 | $436.52 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $67.61 | Professional | 26 · Professional part | $29.51 | $29.51 | $67.61 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $363.08 | Professional | TC · Technical part | $134.90 | $134.90 | $363.08 |
Security Health Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $190.55 | $190.55 | $190.55 |
Security Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $602.56 Typical High $977.24 | Professional | None (both parts) | $331.13 | $602.56 | $977.24 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $83.18 Typical High $93.33 | Professional | 26 · Professional part | $35.48 | $83.18 | $93.33 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $269.15 Typical High $512.86 | Professional | TC · Technical part | $190.55 | $269.15 | $512.86 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $269.15 Median $416.87 Typical High $776.25 | Professional | None (both parts) | $269.15 | $416.87 | $776.25 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $48.98 | $75.86 | $117.49 |
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 $141.25 Median $316.23 Typical High $549.54 | Professional | None (both parts) | $141.25 | $316.23 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $30.90 | $61.66 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $251.19 Typical High $436.52 | Professional | TC · Technical part | $107.15 | $251.19 | $436.52 |
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 $79.43 Median $79.43 Typical High $467.74 | Professional | 52 · Reduced service | $79.43 | $79.43 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $186.21 | Professional | 53 · Discontinued | $31.62 | $31.62 | $186.21 |
Where Wisconsin sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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
$331
AK $347NM $120
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.