How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,585 to $10,471Professionalmedian $2,951 · 10th to 90th $12 to $9,550
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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $12.30 Median $3,548.13 Typical High $10,471.29 | Professional | None (both parts) | $12.30 | $3,548.13 | $10,471.29 |
Cigna Setting Facility Modifier None Typical Low $5,248.07 Median $6,025.60 Typical High $7,943.28 | Facility | None | $5,248.07 | $6,025.60 | $7,943.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $5,754.40 Typical High $6,456.54 | Professional | None (both parts) | $2,398.83 | $5,754.40 | $6,456.54 |
DeanCare Setting Facility Modifier None Typical Low $1,621.81 Median $8,317.64 Typical High $11,748.98 | Facility | None | $1,621.81 | $8,317.64 | $11,748.98 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,511.89 Typical High $9,772.37 | Facility | None | $1,258.93 | $2,511.89 | $9,772.37 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $2,089.30 Typical High $5,754.40 | Professional | None (both parts) | $1,202.26 | $2,089.30 | $5,754.40 |
Network Health Setting Facility Modifier None Typical Low $2,238.72 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,238.72 | $2,511.89 | $2,511.89 |
Network Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $4,168.69 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $4,168.69 |
Prevea360 Setting Facility Modifier None Typical Low $1,258.93 Median $1,949.84 Typical High $2,630.27 | Facility | None | $1,258.93 | $1,949.84 | $2,630.27 |
Quartz Setting Professional Modifier None Typical Low $2,290.87 Median $4,786.30 Typical High $6,309.57 | Professional | None | $2,290.87 | $4,786.30 | $6,309.57 |
Security Health Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
Security Health Setting Professional Modifier None (both parts) Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Professional | None (both parts) | $11,220.18 | $11,220.18 | $11,220.18 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,659.59 Typical High $6,456.54 | Professional | None (both parts) | $1,047.13 | $1,659.59 | $6,456.54 |
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 $501.19 Median $501.19 Typical High $501.19 | Facility | 53 · Discontinued | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | 26 · Professional part | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $501.19 | $501.19 | $501.19 |
Where Wisconsin sits
The same service costs 354.8 times more in Wisconsin than in Alabama. 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· 1st of 51
$2,951
WI $2,951AL $8.32
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.