How much rates vary
Facilitymedian $166 · 10th to 90th $105 to $398Professionalmedian $204 · 10th to 90th $85 to $603
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $3,090.30 | Professional | None (both parts) | $104.71 | $104.71 | $3,090.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $1,862.09 | Professional | 26 · Professional part | $35.48 | $35.48 | $1,862.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $70.79 Typical High $74.13 | Professional | TC · Technical part | $64.57 | $70.79 | $74.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $229.09 Typical High $537.03 | Professional | None (both parts) | $85.11 | $229.09 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $89.13 Typical High $181.97 | Professional | 26 · Professional part | $33.88 | $89.13 | $181.97 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $144.54 Typical High $338.84 | Professional | TC · Technical part | $51.29 | $144.54 | $338.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $40.74 Median $81.28 Typical High $125.89 | Professional | None (both parts) | $40.74 | $81.28 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $316.23 Typical High $467.74 | Facility | None | $275.42 | $316.23 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $109.65 | $181.97 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $36.31 | $66.07 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $72.44 | $123.03 | $208.93 |
DeanCare Setting Facility Modifier None Typical Low $93.33 Median $120.23 Typical High $213.80 | Facility | None | $93.33 | $120.23 | $213.80 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $181.97 Median $204.17 Typical High $275.42 | Professional | None (both parts) | $181.97 | $204.17 | $275.42 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $165.96 Typical High $398.11 | Facility | None | $112.20 | $165.96 | $398.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $79.43 Median $316.23 Typical High $691.83 | Professional | None (both parts) | $79.43 | $316.23 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $125.89 Typical High $223.87 | Professional | 26 · Professional part | $44.67 | $125.89 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $194.98 Typical High $467.74 | Professional | TC · Technical part | $33.11 | $194.98 | $467.74 |
Network Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $158.49 | Facility | None | $154.88 | $154.88 | $158.49 |
Network Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $125.89 Typical High $208.93 | Professional | None (both parts) | $75.86 | $125.89 | $208.93 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $63.10 Typical High $89.13 | Professional | 26 · Professional part | $31.62 | $63.10 | $89.13 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $173.78 | Professional | TC · Technical part | $63.10 | $83.18 | $173.78 |
Prevea360 Setting Facility Modifier None Typical Low $93.33 Median $120.23 Typical High $213.80 | Facility | None | $93.33 | $120.23 | $213.80 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $234.42 Typical High $323.59 | Professional | None | $117.49 | $234.42 | $323.59 |
Quartz Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $251.19 | Professional | None (both parts) | $109.65 | $109.65 | $251.19 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $83.18 | Professional | 26 · Professional part | $36.31 | $36.31 | $83.18 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $144.54 | Professional | TC · Technical part | $72.44 | $72.44 | $144.54 |
Security Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $91.20 | $91.20 | $91.20 |
Security Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $257.04 Typical High $645.65 | Professional | None (both parts) | $109.65 | $257.04 | $645.65 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $87.10 Typical High $102.33 | Professional | 26 · Professional part | $42.66 | $87.10 | $102.33 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $91.20 | $114.82 | $147.91 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $190.55 Median $257.04 Typical High $446.68 | Professional | None (both parts) | $190.55 | $257.04 | $446.68 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $93.33 Typical High $144.54 | Professional | 26 · Professional part | $60.26 | $93.33 | $144.54 |
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 $81.28 Median $204.17 Typical High $354.81 | Professional | None (both parts) | $81.28 | $204.17 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $38.02 | $75.86 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $128.82 Typical High $218.78 | Professional | TC · Technical part | $33.11 | $128.82 | $218.78 |
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 $52.48 Median $52.48 Typical High $1,548.82 | Professional | 52 · Reduced service | $52.48 | $52.48 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $616.60 | Professional | 53 · Discontinued | $20.89 | $20.89 | $616.60 |
Where Wisconsin sits
The same service costs 3.5 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
$204
AK $229KY $64.57
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.