How much rates vary
Facilitymedian $457 · 10th to 90th $209 to $1,778Professionalmedian $513 · 10th to 90th $4 to $1,479
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 $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $4.27 Median $446.68 Typical High $1,479.11 | Professional | None (both parts) | $4.27 | $446.68 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,380.38 | Facility | None | $891.25 | $1,047.13 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $977.24 Typical High $1,122.02 | Professional | None (both parts) | $407.38 | $977.24 | $1,122.02 |
DeanCare Setting Facility Modifier None Typical Low $208.93 Median $1,288.25 Typical High $2,041.74 | Facility | None | $208.93 | $1,288.25 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $354.81 Typical High $1,698.24 | Facility | None | $208.93 | $354.81 | $1,698.24 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $354.81 Typical High $1,000.00 | Professional | None (both parts) | $208.93 | $354.81 | $1,000.00 |
Network Health Setting Facility Modifier None Typical Low $389.05 Median $426.58 Typical High $1,023.29 | Facility | None | $389.05 | $426.58 | $1,023.29 |
Network Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $707.95 | Professional | None (both parts) | $269.15 | $354.81 | $707.95 |
Prevea360 Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $457.09 | Facility | None | $208.93 | $323.59 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $398.11 Median $812.83 Typical High $1,071.52 | Professional | None | $398.11 | $812.83 | $1,071.52 |
Quartz Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
Security Health Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,995.26 Typical High $2,511.89 | Professional | None (both parts) | $1,949.84 | $1,995.26 | $2,511.89 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $288.40 Typical High $1,096.48 | Professional | None (both parts) | $177.83 | $288.40 | $1,096.48 |
5 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 $85.11 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $380.19 | Professional | 52 · Reduced service | $213.80 | $213.80 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $151.36 | Professional | 53 · Discontinued | $85.11 | $85.11 | $151.36 |
Security Health Setting Professional Modifier AD · Supervising 5+ Typical Low $1,949.84 Median $1,995.26 Typical High $2,691.53 | Professional | AD · Supervising 5+ | $1,949.84 | $1,995.26 | $2,691.53 |
Where Wisconsin sits
The same service costs 4.5 times more in Alaska than in Ohio. 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
$513
AK $676OH $151
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.