How much rates vary
Facilitymedian $240 · 10th to 90th $145 to $575Professionalmedian $295 · 10th to 90th $123 to $891
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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $933.25 | Professional | None (both parts) | $144.54 | $144.54 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $363.08 | Professional | 26 · Professional part | $27.54 | $27.54 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $123.03 | Professional | TC · Technical part | $117.49 | $117.49 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $380.19 Typical High $741.31 | Professional | None (both parts) | $123.03 | $380.19 | $741.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $70.79 Typical High $141.25 | Professional | 26 · Professional part | $26.92 | $70.79 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $309.03 Typical High $602.56 | Professional | TC · Technical part | $97.72 | $309.03 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $436.52 Typical High $660.69 | Facility | None | $389.05 | $436.52 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $257.04 Typical High $467.74 | Professional | None (both parts) | $151.36 | $257.04 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $51.29 Typical High $91.20 | Professional | 26 · Professional part | $28.18 | $51.29 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $208.93 Typical High $380.19 | Professional | TC · Technical part | $123.03 | $208.93 | $380.19 |
DeanCare Setting Facility Modifier None Typical Low $128.82 Median $165.96 Typical High $295.12 | Facility | None | $128.82 | $165.96 | $295.12 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $389.05 | Professional | None (both parts) | $251.19 | $295.12 | $389.05 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $46.77 | $54.95 | $70.79 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $208.93 Typical High $794.33 | Facility | None | $128.82 | $208.93 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $131.83 Median $478.63 Typical High $1,023.29 | Professional | None (both parts) | $131.83 | $478.63 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $100.00 Typical High $602.56 | Professional | 26 · Professional part | $37.15 | $100.00 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $380.19 Typical High $851.14 | Professional | TC · Technical part | $107.15 | $380.19 | $851.14 |
Network Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $380.19 | Facility | None | $213.80 | $213.80 | $380.19 |
Network Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $173.78 Typical High $371.54 | Professional | None (both parts) | $104.71 | $173.78 | $371.54 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $48.98 Typical High $69.18 | Professional | 26 · Professional part | $24.55 | $48.98 | $69.18 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $213.80 Typical High $323.59 | Professional | TC · Technical part | $104.71 | $213.80 | $323.59 |
Prevea360 Setting Facility Modifier None Typical Low $128.82 Median $165.96 Typical High $295.12 | Facility | None | $128.82 | $165.96 | $295.12 |
Quartz Setting Professional Modifier None Typical Low $151.36 Median $302.00 Typical High $426.58 | Professional | None | $151.36 | $302.00 | $426.58 |
Quartz Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $380.19 | Professional | None (both parts) | $151.36 | $151.36 | $380.19 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $28.18 | $66.07 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $309.03 | Professional | TC · Technical part | $123.03 | $123.03 | $309.03 |
Security Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $162.18 | $162.18 | $162.18 |
Security Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $575.44 Typical High $912.01 | Professional | None (both parts) | $331.13 | $575.44 | $912.01 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $83.18 Typical High $93.33 | Professional | 26 · Professional part | $34.67 | $83.18 | $93.33 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $263.03 Typical High $489.78 | Professional | TC · Technical part | $162.18 | $263.03 | $489.78 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
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 $128.82 Median $302.00 Typical High $537.03 | Professional | None (both parts) | $128.82 | $302.00 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $30.20 | $60.26 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $234.42 Typical High $426.58 | Professional | TC · Technical part | $102.33 | $234.42 | $426.58 |
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 $72.44 Median $72.44 Typical High $467.74 | Professional | 52 · Reduced service | $72.44 | $72.44 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $186.21 | Professional | 53 · Discontinued | $28.84 | $28.84 | $186.21 |
Where Wisconsin sits
The same service costs 3.2 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· 2nd of 51
$295
AK $324TX $102
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.