How much rates vary
Facilitymedian $129 · 10th to 90th $69 to $331Professionalmedian $151 · 10th to 90th $68 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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $446.68 | Professional | None (both parts) | $69.18 | $69.18 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $234.42 | Professional | 26 · Professional part | $19.05 | $19.05 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $97.72 | Professional | TC · Technical part | $50.12 | $50.12 | $97.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $186.21 Typical High $446.68 | Professional | None (both parts) | $67.61 | $186.21 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $19.05 | $48.98 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $131.83 Typical High $354.81 | Professional | TC · Technical part | $47.86 | $131.83 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $204.17 Typical High $309.03 | Facility | None | $181.97 | $204.17 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $70.79 | $141.25 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $35.48 Typical High $60.26 | Professional | 26 · Professional part | $19.50 | $35.48 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $104.71 Typical High $181.97 | Professional | TC · Technical part | $51.29 | $104.71 | $181.97 |
DeanCare Setting Facility Modifier None Typical Low $61.66 Median $79.43 Typical High $138.04 | Facility | None | $61.66 | $79.43 | $138.04 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $117.49 | $138.04 | $186.21 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $89.13 Typical High $794.33 | Facility | None | $61.66 | $89.13 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $93.33 Median $251.19 Typical High $812.83 | Professional | None (both parts) | $93.33 | $251.19 | $812.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $69.18 Typical High $416.87 | Professional | 26 · Professional part | $23.99 | $69.18 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $190.55 Typical High $562.34 | Professional | TC · Technical part | $70.79 | $190.55 | $562.34 |
Network Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $331.13 | Facility | None | $100.00 | $100.00 | $331.13 |
Network Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $83.18 Typical High $338.84 | Professional | None (both parts) | $48.98 | $83.18 | $338.84 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $34.67 Typical High $47.86 | Professional | 26 · Professional part | $16.98 | $34.67 | $47.86 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $123.03 Typical High $302.00 | Professional | TC · Technical part | $44.67 | $123.03 | $302.00 |
Prevea360 Setting Facility Modifier None Typical Low $61.66 Median $79.43 Typical High $138.04 | Facility | None | $61.66 | $79.43 | $138.04 |
Quartz Setting Professional Modifier None Typical Low $75.86 Median $151.36 Typical High $204.17 | Professional | None | $75.86 | $151.36 | $204.17 |
Quartz Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $162.18 | Professional | None (both parts) | $70.79 | $70.79 | $162.18 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $44.67 | Professional | 26 · Professional part | $19.50 | $19.50 | $44.67 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $117.49 | Professional | TC · Technical part | $51.29 | $51.29 | $117.49 |
Security Health Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $57.54 | $57.54 | $57.54 |
Security Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $346.74 Typical High $501.19 | Professional | None (both parts) | $138.04 | $346.74 | $501.19 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $56.23 Typical High $63.10 | Professional | 26 · Professional part | $22.91 | $56.23 | $63.10 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $269.15 Typical High $446.68 | Professional | TC · Technical part | $57.54 | $269.15 | $446.68 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $120.23 Median $177.83 Typical High $275.42 | Professional | None (both parts) | $120.23 | $177.83 | $275.42 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $32.36 | $50.12 | $77.62 |
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 $85.11 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $85.11 | $181.97 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $19.95 | $41.69 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $131.83 Typical High $208.93 | Professional | TC · Technical part | $61.66 | $131.83 | $208.93 |
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 $34.67 Median $34.67 Typical High $223.87 | Professional | 52 · Reduced service | $34.67 | $34.67 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $89.13 | Professional | 53 · Discontinued | $13.80 | $13.80 | $89.13 |
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
$151
AK $162TX $51.29
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.