How much rates vary
Facilitymedian $245 · 10th to 90th $182 to $646Professionalmedian $324 · 10th to 90th $129 to $955
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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $1,288.25 | Professional | None (both parts) | $181.97 | $181.97 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $416.87 | Professional | 26 · Professional part | $28.18 | $28.18 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $154.88 | $154.88 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $380.19 Typical High $933.25 | Professional | None (both parts) | $128.82 | $380.19 | $933.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $70.79 Typical High $144.54 | Professional | 26 · Professional part | $26.92 | $70.79 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $302.00 Typical High $794.33 | Professional | TC · Technical part | $102.33 | $302.00 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $549.54 Typical High $812.83 | Facility | None | $478.63 | $549.54 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $323.59 Typical High $537.03 | Professional | None (both parts) | $190.55 | $323.59 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $52.48 Typical High $89.13 | Professional | 26 · Professional part | $28.84 | $52.48 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $275.42 Typical High $457.09 | Professional | TC · Technical part | $158.49 | $275.42 | $457.09 |
DeanCare Setting Facility Modifier None Typical Low $162.18 Median $208.93 Typical High $371.54 | Facility | None | $162.18 | $208.93 | $371.54 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $316.23 Median $354.81 Typical High $489.78 | Professional | None (both parts) | $316.23 | $354.81 | $489.78 |
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 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $223.87 Typical High $794.33 | Facility | None | $162.18 | $223.87 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $489.78 Typical High $954.99 | Professional | None (both parts) | $134.90 | $489.78 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $100.00 Typical High $602.56 | Professional | 26 · Professional part | $35.48 | $100.00 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $389.05 Typical High $794.33 | Professional | TC · Technical part | $107.15 | $389.05 | $794.33 |
Network Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $346.74 | Facility | None | $208.93 | $208.93 | $346.74 |
Network Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $131.83 | $213.80 | $398.11 |
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 $138.04 Median $257.04 Typical High $354.81 | Professional | TC · Technical part | $138.04 | $257.04 | $354.81 |
Prevea360 Setting Facility Modifier None Typical Low $162.18 Median $208.93 Typical High $371.54 | Facility | None | $162.18 | $208.93 | $371.54 |
Quartz Setting Professional Modifier None Typical Low $190.55 Median $380.19 Typical High $512.86 | Professional | None | $190.55 | $380.19 | $512.86 |
Quartz Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $407.38 | Professional | None (both parts) | $190.55 | $190.55 | $407.38 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $28.84 | $66.07 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $338.84 | Professional | TC · Technical part | $158.49 | $158.49 | $338.84 |
Security Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $151.36 | $151.36 | $151.36 |
Security Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $524.81 Typical High $933.25 | Professional | None (both parts) | $331.13 | $524.81 | $933.25 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $83.18 Typical High $93.33 | Professional | 26 · Professional part | $33.11 | $83.18 | $93.33 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $269.15 Typical High $446.68 | Professional | TC · Technical part | $151.36 | $269.15 | $446.68 |
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 $134.90 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $134.90 | $309.03 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $30.90 | $60.26 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $245.47 Typical High $446.68 | Professional | TC · Technical part | $102.33 | $245.47 | $446.68 |
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 $91.20 Median $91.20 Typical High $645.65 | Professional | 52 · Reduced service | $91.20 | $91.20 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $257.04 | Professional | 53 · Discontinued | $36.31 | $36.31 | $257.04 |
Where Wisconsin sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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
$324
AK $324KY $115
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.