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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $1,778.28 | Professional | None (both parts) | $741.31 | $741.31 | $1,778.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $1,047.13 | Professional | 26 · Professional part | $229.09 | $229.09 | $1,047.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $467.74 | $512.86 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,548.82 Typical High $3,801.89 | Professional | None (both parts) | $562.34 | $1,548.82 | $3,801.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $575.44 Typical High $1,174.90 | Professional | 26 · Professional part | $223.87 | $575.44 | $1,174.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $977.24 Typical High $2,570.40 | Professional | TC · Technical part | $338.84 | $977.24 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $2,187.76 Typical High $3,311.31 | Facility | None | $1,949.84 | $2,187.76 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,288.25 Typical High $2,041.74 | Professional | None (both parts) | $758.58 | $1,288.25 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $436.52 Typical High $741.31 | Professional | 26 · Professional part | $239.88 | $436.52 | $741.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $891.25 Typical High $1,412.54 | Professional | TC · Technical part | $524.81 | $891.25 | $1,412.54 |
DeanCare Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $1,513.56 | Facility | None | $660.69 | $851.14 | $1,513.56 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,445.44 Typical High $1,905.46 | Professional | None (both parts) | $1,258.93 | $1,445.44 | $1,905.46 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $457.09 Typical High $588.84 | Professional | 26 · Professional part | $389.05 | $457.09 | $588.84 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $912.01 Typical High $2,630.27 | Facility | None | $660.69 | $912.01 | $2,630.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $524.81 Median $2,089.30 Typical High $3,981.07 | Professional | None (both parts) | $524.81 | $2,089.30 | $3,981.07 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $831.76 Typical High $1,412.54 | Professional | 26 · Professional part | $295.12 | $831.76 | $1,412.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $1,258.93 Typical High $2,570.40 | Professional | TC · Technical part | $229.09 | $1,258.93 | $2,570.40 |
Network Health Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $1,174.90 | Facility | None | $660.69 | $660.69 | $1,174.90 |
Network Health Setting Professional Modifier None (both parts) Typical Low $524.81 Median $831.76 Typical High $1,445.44 | Professional | None (both parts) | $524.81 | $831.76 | $1,445.44 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $416.87 Typical High $575.44 | Professional | 26 · Professional part | $204.17 | $416.87 | $575.44 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $630.96 Typical High $1,148.15 | Professional | TC · Technical part | $457.09 | $630.96 | $1,148.15 |
Prevea360 Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $1,513.56 | Facility | None | $660.69 | $851.14 | $1,513.56 |
Quartz Setting Professional Modifier None Typical Low $851.14 Median $1,659.59 Typical High $2,290.87 | Professional | None | $851.14 | $1,659.59 | $2,290.87 |
Quartz Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $1,621.81 | Professional | None (both parts) | $758.58 | $758.58 | $1,621.81 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $537.03 | Professional | 26 · Professional part | $239.88 | $239.88 | $537.03 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $1,096.48 | Professional | TC · Technical part | $524.81 | $524.81 | $1,096.48 |
Security Health Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $275.42 | $275.42 | $275.42 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $501.19 | $501.19 | $501.19 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,819.70 Typical High $3,715.35 | Professional | None (both parts) | $1,202.26 | $1,819.70 | $3,715.35 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $645.65 Typical High $707.95 | Professional | 26 · Professional part | $275.42 | $645.65 | $707.95 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $870.96 Typical High $1,122.02 | Professional | TC · Technical part | $295.12 | $870.96 | $1,122.02 |
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 $524.81 Median $1,318.26 Typical High $2,398.83 | Professional | None (both parts) | $524.81 | $1,318.26 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $501.19 Typical High $954.99 | Professional | 26 · Professional part | $234.42 | $501.19 | $954.99 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $794.33 Typical High $1,479.11 | Professional | TC · Technical part | $251.19 | $794.33 | $1,479.11 |
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 $371.54 Median $371.54 Typical High $891.25 | Professional | 52 · Reduced service | $371.54 | $371.54 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $354.81 | Professional | 53 · Discontinued | $147.91 | $147.91 | $354.81 |
Where Wisconsin sits
The same service costs 3.2 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· 3rd of 51
$1,318
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.