How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,000 to $3,388Professionalmedian $2,344 · 10th to 90th $1,000 to $6,607
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $12,589.25 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $12,589.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $5,128.61 | Professional | 26 · Professional part | $204.17 | $204.17 | $5,128.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $812.83 | Professional | TC · Technical part | $794.33 | $794.33 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $2,691.53 Typical High $5,128.61 | Professional | None (both parts) | $1,023.29 | $2,691.53 | $5,128.61 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $549.54 Typical High $1,047.13 | Professional | 26 · Professional part | $213.80 | $549.54 | $1,047.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $2,089.30 Typical High $4,073.80 | Professional | TC · Technical part | $812.83 | $2,089.30 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $3,311.31 Typical High $5,011.87 | Facility | None | $2,951.21 | $3,311.31 | $5,011.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,949.84 Typical High $3,162.28 | Professional | None (both parts) | $1,023.29 | $1,949.84 | $3,162.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $380.19 Typical High $660.69 | Professional | 26 · Professional part | $213.80 | $380.19 | $660.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,584.89 Typical High $2,630.27 | Professional | TC · Technical part | $812.83 | $1,584.89 | $2,630.27 |
DeanCare Setting Facility Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $2,041.74 | Facility | None | $1,023.29 | $1,318.26 | $2,041.74 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,905.46 Typical High $2,630.27 | Professional | None (both parts) | $676.08 | $1,905.46 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $2,630.27 | Facility | None | $1,023.29 | $1,348.96 | $2,630.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $3,801.89 Typical High $6,606.93 | Professional | None (both parts) | $1,445.44 | $3,801.89 | $6,606.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $776.25 Typical High $1,737.80 | Professional | 26 · Professional part | $281.84 | $776.25 | $1,737.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $3,019.95 Typical High $5,248.07 | Professional | TC · Technical part | $1,096.48 | $3,019.95 | $5,248.07 |
Network Health Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $1,995.26 Typical High $2,511.89 | Professional | None (both parts) | $1,995.26 | $1,995.26 | $2,511.89 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $371.54 Typical High $537.03 | Professional | 26 · Professional part | $181.97 | $371.54 | $537.03 |
Prevea360 Setting Facility Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $2,041.74 | Facility | None | $1,023.29 | $1,318.26 | $2,041.74 |
Quartz Setting Professional Modifier None Typical Low $1,174.90 Median $2,344.23 Typical High $3,019.95 | Professional | None | $1,174.90 | $2,344.23 | $3,019.95 |
Quartz Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $2,691.53 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $2,691.53 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $512.86 | Professional | 26 · Professional part | $213.80 | $213.80 | $512.86 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $2,137.96 | Professional | TC · Technical part | $812.83 | $812.83 | $2,137.96 |
Security Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $263.03 | $263.03 | $263.03 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,096.48 |
Security Health Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $5,623.41 Typical High $6,760.83 | Professional | None (both parts) | $2,691.53 | $5,623.41 | $6,760.83 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $524.81 Typical High $676.08 | Professional | 26 · Professional part | $263.03 | $524.81 | $676.08 |
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 $1,071.52 Median $2,570.40 Typical High $4,365.16 | Professional | None (both parts) | $1,071.52 | $2,570.40 | $4,365.16 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $478.63 Typical High $891.25 | Professional | 26 · Professional part | $223.87 | $478.63 | $891.25 |
United Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $2,041.74 Typical High $3,467.37 | Professional | TC · Technical part | $851.14 | $2,041.74 | $3,467.37 |
4 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 $501.19 Median $501.19 Typical High $6,309.57 | Professional | 52 · Reduced service | $501.19 | $501.19 | $6,309.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $2,511.89 | Professional | 53 · Discontinued | $199.53 | $199.53 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $1,862.09 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $1,862.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $1,258.93 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $1,258.93 |
Where Wisconsin sits
The same service costs 11.2 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· 2nd of 51
$2,344
AK $3,020KY $269
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.