How much rates vary
Facilitymedian $912 · 10th to 90th $251 to $2,455Professionalmedian $741 · 10th to 90th $200 to $2,455
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,380.38 | Facility | None | $1,071.52 | $1,318.26 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $851.14 Typical High $2,511.89 | Professional | None (both parts) | $199.53 | $851.14 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $1,949.84 | Facility | None | $1,258.93 | $1,479.11 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $870.96 Typical High $1,000.00 | Professional | None (both parts) | $524.81 | $870.96 | $1,000.00 |
DeanCare Setting Facility Modifier None Typical Low $251.19 Median $1,737.80 Typical High $2,884.03 | Facility | None | $251.19 | $1,737.80 | $2,884.03 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $501.19 Typical High $2,398.83 | Facility | None | $251.19 | $501.19 | $2,398.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $295.12 Median $501.19 Typical High $1,380.38 | Professional | None (both parts) | $295.12 | $501.19 | $1,380.38 |
Network Health Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $1,445.44 | Facility | None | $776.25 | $776.25 | $1,445.44 |
Network Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $501.19 Typical High $1,000.00 | Professional | None (both parts) | $380.19 | $501.19 | $1,000.00 |
Prevea360 Setting Facility Modifier None Typical Low $251.19 Median $457.09 Typical High $912.01 | Facility | None | $251.19 | $457.09 | $912.01 |
Prevea360 Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $562.34 Median $1,096.48 Typical High $1,513.56 | Professional | None | $562.34 | $1,096.48 | $1,513.56 |
Quartz Setting Professional Modifier None (both parts) Typical Low $269.15 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $269.15 | $1,318.26 | $1,318.26 |
Security Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Security Health Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $2,754.23 Typical High $3,548.13 | Professional | None (both parts) | $2,754.23 | $2,754.23 | $3,548.13 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $407.38 Typical High $1,548.82 | Professional | None (both parts) | $251.19 | $407.38 | $1,548.82 |
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 Facility Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 26 · Professional part | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $269.15 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $107.15 | $120.23 | $120.23 |
Where Wisconsin sits
The same service costs 3.9 times more in Wyoming 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
$759
WY $776KY $200
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.