How much rates vary
Facilitymedian $214 · 10th to 90th $110 to $468Professionalmedian $204 · 10th to 90th $110 to $692
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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $794.33 | Professional | None (both parts) | $109.65 | $109.65 | $794.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $281.84 Typical High $562.34 | Professional | None (both parts) | $120.23 | $281.84 | $562.34 |
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 $117.49 Median $204.17 Typical High $316.23 | Professional | None (both parts) | $117.49 | $204.17 | $316.23 |
DeanCare Setting Facility Modifier None Typical Low $97.72 Median $125.89 Typical High $257.04 | Facility | None | $97.72 | $125.89 | $257.04 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $302.00 | Professional | None (both parts) | $186.21 | $218.78 | $302.00 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $151.36 Typical High $2,630.27 | Facility | None | $97.72 | $151.36 | $2,630.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $398.11 Typical High $691.83 | Professional | None (both parts) | $141.25 | $398.11 | $691.83 |
Network Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $194.98 | Facility | None | $165.96 | $165.96 | $194.98 |
Network Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $131.83 Typical High $281.84 | Professional | None (both parts) | $77.62 | $131.83 | $281.84 |
Prevea360 Setting Facility Modifier None Typical Low $97.72 Median $125.89 Typical High $257.04 | Facility | None | $97.72 | $125.89 | $257.04 |
Quartz Setting Professional Modifier None Typical Low $95.50 Median $194.98 Typical High $354.81 | Professional | None | $95.50 | $194.98 | $354.81 |
Quartz Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $245.47 | Professional | None (both parts) | $117.49 | $117.49 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Security Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $346.74 Typical High $691.83 | Professional | None (both parts) | $269.15 | $346.74 | $691.83 |
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 $114.82 Median $245.47 Typical High $478.63 | Professional | None (both parts) | $114.82 | $245.47 | $478.63 |
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 $54.95 Median $54.95 Typical High $398.11 | Professional | 52 · Reduced service | $54.95 | $54.95 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $158.49 | Professional | 53 · Discontinued | $21.88 | $21.88 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $162.18 | $190.55 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $602.56 | $602.56 | $602.56 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 5th of 51
$204
AK $282FL $89.13
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.