How much rates vary
Facilitymedian $468 · 10th to 90th $234 to $1,905Professionalmedian $490 · 10th to 90th $6 to $1,622
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 Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $6.46 Median $562.34 Typical High $1,905.46 | Professional | None (both parts) | $6.46 | $562.34 | $1,905.46 |
CareSource Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,513.56 | Facility | None | $977.24 | $1,148.15 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $1,071.52 Typical High $1,230.27 | Professional | None (both parts) | $446.68 | $1,071.52 | $1,230.27 |
DeanCare Setting Facility Modifier None Typical Low $234.42 Median $1,412.54 Typical High $2,238.72 | Facility | None | $234.42 | $1,412.54 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $389.05 Typical High $1,862.09 | Facility | None | $234.42 | $389.05 | $1,862.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $389.05 Typical High $1,071.52 | Professional | None (both parts) | $229.09 | $389.05 | $1,071.52 |
Network Health Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $1,122.02 | Facility | None | $426.58 | $467.74 | $1,122.02 |
Network Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $776.25 | Professional | None (both parts) | $295.12 | $295.12 | $776.25 |
Prevea360 Setting Facility Modifier None Typical Low $234.42 Median $323.59 Typical High $467.74 | Facility | None | $234.42 | $323.59 | $467.74 |
Quartz Setting Professional Modifier None Typical Low $436.52 Median $891.25 Typical High $1,174.90 | Professional | None | $436.52 | $891.25 | $1,174.90 |
Quartz Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,023.29 |
Security Health Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Security Health Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $2,137.96 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $309.03 Typical High $1,202.26 | Professional | None (both parts) | $194.98 | $309.03 | $1,202.26 |
3 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 26 · Professional part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $93.33 | $93.33 | $93.33 |
Where Wisconsin sits
The same service costs 134.9 times more in Alaska 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· 5th of 51
$490
AK $871KY $6.46
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.