How much rates vary
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 $794.33 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $794.33 | $794.33 | $794.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $12.30 Median $1,122.02 Typical High $3,311.31 | Professional | None (both parts) | $12.30 | $1,122.02 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $2,570.40 | Facility | None | $1,659.59 | $1,949.84 | $2,570.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,819.70 Typical High $2,089.30 | Professional | None (both parts) | $758.58 | $1,819.70 | $2,089.30 |
DeanCare Setting Facility Modifier None Typical Low $524.81 Median $2,630.27 Typical High $3,715.35 | Facility | None | $524.81 | $2,630.27 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $794.33 Typical High $3,162.28 | Facility | None | $398.11 | $794.33 | $3,162.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $660.69 Typical High $1,819.70 | Professional | None (both parts) | $380.19 | $660.69 | $1,819.70 |
Network Health Setting Facility Modifier None Typical Low $707.95 Median $794.33 Typical High $794.33 | Facility | None | $707.95 | $794.33 | $794.33 |
Network Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $1,318.26 | Professional | None (both parts) | $501.19 | $501.19 | $1,318.26 |
Prevea360 Setting Facility Modifier None Typical Low $398.11 Median $630.96 Typical High $851.14 | Facility | None | $398.11 | $630.96 | $851.14 |
Quartz Setting Professional Modifier None Typical Low $741.31 Median $1,513.56 Typical High $1,995.26 | Professional | None | $741.31 | $1,513.56 | $1,995.26 |
Security Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Security Health Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None (both parts) | $3,630.78 | $3,630.78 | $3,630.78 |
United Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $524.81 Typical High $2,041.74 | Professional | None (both parts) | $331.13 | $524.81 | $2,041.74 |
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 $158.49 Median $158.49 Typical High $158.49 | Facility | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 26 · Professional part | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Where Wisconsin sits
The same service costs 114.8 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
$955
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.