How much rates vary
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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $9,332.54 | Professional | None (both parts) | $389.05 | $389.05 | $9,332.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $5,623.41 | Professional | 26 · Professional part | $46.77 | $46.77 | $5,623.41 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $331.13 | $338.84 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $912.01 Typical High $1,995.26 | Professional | None (both parts) | $338.84 | $912.01 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $120.23 Typical High $239.88 | Professional | 26 · Professional part | $45.71 | $120.23 | $239.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $794.33 Typical High $1,737.80 | Professional | TC · Technical part | $288.40 | $794.33 | $1,737.80 |
CareSource Setting Professional Modifier None (both parts) Typical Low $53.70 Median $389.05 Typical High $446.68 | Professional | None (both parts) | $53.70 | $389.05 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,737.80 | Facility | None | $1,023.29 | $1,174.90 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $691.83 Typical High $1,122.02 | Professional | None (both parts) | $398.11 | $691.83 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $85.11 Typical High $144.54 | Professional | 26 · Professional part | $47.86 | $85.11 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $602.56 Typical High $1,000.00 | Professional | TC · Technical part | $354.81 | $602.56 | $1,000.00 |
DeanCare Setting Facility Modifier None Typical Low $346.74 Median $446.68 Typical High $794.33 | Facility | None | $346.74 | $446.68 | $794.33 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $660.69 Median $776.25 Typical High $1,000.00 | Professional | None (both parts) | $660.69 | $776.25 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $489.78 Typical High $1,348.96 | Facility | None | $346.74 | $489.78 | $1,348.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,258.93 Typical High $2,344.23 | Professional | None (both parts) | $426.58 | $1,258.93 | $2,344.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $169.82 Typical High $281.84 | Professional | 26 · Professional part | $60.26 | $169.82 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $1,071.52 Typical High $2,041.74 | Professional | TC · Technical part | $363.08 | $1,071.52 | $2,041.74 |
Network Health Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $660.69 | Facility | None | $537.03 | $537.03 | $660.69 |
Network Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $457.09 Typical High $933.25 | Professional | None (both parts) | $275.42 | $457.09 | $933.25 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $83.18 Typical High $117.49 | Professional | 26 · Professional part | $41.69 | $83.18 | $117.49 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $562.34 Typical High $812.83 | Professional | TC · Technical part | $302.00 | $562.34 | $812.83 |
Prevea360 Setting Facility Modifier None Typical Low $346.74 Median $446.68 Typical High $794.33 | Facility | None | $346.74 | $446.68 | $794.33 |
Quartz Setting Professional Modifier None Typical Low $446.68 Median $891.25 Typical High $1,202.26 | Professional | None | $446.68 | $891.25 | $1,202.26 |
Quartz Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $891.25 | Professional | None (both parts) | $398.11 | $398.11 | $891.25 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $47.86 | $109.65 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $776.25 | Professional | TC · Technical part | $354.81 | $354.81 | $776.25 |
Security Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $389.05 | $389.05 | $389.05 |
Security Health Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,023.29 Typical High $2,238.72 | Professional | None (both parts) | $707.95 | $1,023.29 | $2,238.72 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $114.82 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $114.82 | $138.04 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $724.44 Typical High $870.96 | Professional | TC · Technical part | $389.05 | $724.44 | $870.96 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,071.52 Typical High $1,513.56 | Professional | None (both parts) | $707.95 | $1,071.52 | $1,513.56 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $123.03 Typical High $190.55 | Professional | 26 · Professional part | $81.28 | $123.03 | $190.55 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $758.58 Typical High $1,445.44 | Professional | None (both parts) | $389.05 | $758.58 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $102.33 Typical High $194.98 | Professional | 26 · Professional part | $52.48 | $102.33 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $660.69 Typical High $1,230.27 | Professional | TC · Technical part | $338.84 | $660.69 | $1,230.27 |
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 $194.98 Median $194.98 Typical High $4,677.35 | Professional | 52 · Reduced service | $194.98 | $194.98 | $4,677.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $1,862.09 | Professional | 53 · Discontinued | $77.62 | $77.62 | $1,862.09 |
Where Wisconsin sits
The same service costs 3.0 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
$759
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.