How much rates vary
Facilitymedian $2,188 · 10th to 90th $912 to $3,890Professionalmedian $1,148 · 10th to 90th $457 to $3,802
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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Professional | None (both parts) | $912.01 | $912.01 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,698.24 Typical High $4,265.80 | Professional | None (both parts) | $912.01 | $1,698.24 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,951.21 | Facility | None | $1,905.46 | $2,238.72 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $2,089.30 Typical High $2,398.83 | Professional | None (both parts) | $933.25 | $2,089.30 | $2,398.83 |
DeanCare Setting Facility Modifier None Typical Low $912.01 Median $3,548.13 Typical High $4,786.30 | Facility | None | $912.01 | $3,548.13 | $4,786.30 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $4,570.88 Median $4,570.88 Typical High $5,011.87 | Professional | None (both parts) | $4,570.88 | $4,570.88 | $5,011.87 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $912.01 Typical High $1,513.56 | Facility | None | $588.84 | $912.01 | $1,513.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $436.52 Median $912.01 Typical High $3,801.89 | Professional | None (both parts) | $436.52 | $912.01 | $3,801.89 |
Network Health Setting Facility Modifier None Typical Low $812.83 Median $912.01 Typical High $2,187.76 | Facility | None | $812.83 | $912.01 | $2,187.76 |
Network Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,148.15 Typical High $1,288.25 | Professional | None (both parts) | $758.58 | $1,148.15 | $1,288.25 |
Prevea360 Setting Facility Modifier None Typical Low $588.84 Median $912.01 Typical High $1,513.56 | Facility | None | $588.84 | $912.01 | $1,513.56 |
Quartz Setting Professional Modifier None Typical Low $851.14 Median $1,737.80 Typical High $2,290.87 | Professional | None | $851.14 | $1,737.80 | $2,290.87 |
Quartz Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $1,995.26 | Professional | None (both parts) | $933.25 | $933.25 | $1,995.26 |
Security Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Security Health Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | None (both parts) | $4,168.69 | $4,168.69 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $537.03 Typical High $2,344.23 | Professional | None (both parts) | $316.23 | $537.03 | $2,344.23 |
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 Professional Modifier 26 · Professional part Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 26 · Professional part | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $501.19 | Professional | 52 · Reduced service | $457.09 | $457.09 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $199.53 | Professional | 53 · Discontinued | $181.97 | $181.97 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | TC · Technical part | $3,890.45 | $3,890.45 | $3,890.45 |
Where Wisconsin sits
The same service costs 12.0 times more in Texas than in New Mexico. 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
$1,259
TX $3,802NM $316
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.