How much rates vary
Facilitymedian $1,072 · 10th to 90th $537 to $4,365Professionalmedian $1,259 · 10th to 90th $537 to $3,890
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $616.60 Median $1,513.56 Typical High $4,365.16 | Professional | None (both parts) | $616.60 | $1,513.56 | $4,365.16 |
CareSource Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $2,630.27 Typical High $3,467.37 | Facility | None | $2,238.72 | $2,630.27 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $2,454.71 Typical High $2,818.38 | Professional | None (both parts) | $1,023.29 | $2,454.71 | $2,818.38 |
DeanCare Setting Facility Modifier None Typical Low $537.03 Median $3,235.94 Typical High $5,128.61 | Facility | None | $537.03 | $3,235.94 | $5,128.61 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $851.14 Typical High $4,265.80 | Facility | None | $537.03 | $851.14 | $4,265.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $524.81 Median $891.25 Typical High $2,511.89 | Professional | None (both parts) | $524.81 | $891.25 | $2,511.89 |
Network Health Setting Facility Modifier None Typical Low $977.24 Median $1,071.52 Typical High $2,570.40 | Facility | None | $977.24 | $1,071.52 | $2,570.40 |
Network Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $1,778.28 | Professional | None (both parts) | $676.08 | $676.08 | $1,778.28 |
Prevea360 Setting Facility Modifier None Typical Low $537.03 Median $741.31 Typical High $1,071.52 | Facility | None | $537.03 | $741.31 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $1,000.00 Median $2,041.74 Typical High $2,691.53 | Professional | None | $1,000.00 | $2,041.74 | $2,691.53 |
Quartz Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None (both parts) | $2,344.23 | $2,344.23 | $2,344.23 |
Security Health Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Security Health Setting Professional Modifier None (both parts) Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None (both parts) | $4,897.79 | $4,897.79 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $724.44 Typical High $2,754.23 | Professional | None (both parts) | $446.68 | $724.44 | $2,754.23 |
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 26 · Professional part | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $213.80 | $213.80 | $213.80 |
Where Wisconsin sits
The same service costs 31.6 times more in Alaska 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· 3rd of 51
$1,202
AK $1,995AL $63.10
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.