How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $199.53 Median $446.68 Typical High $446.68 | Facility | None | $199.53 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $1,122.02 Typical High $1,905.46 | Professional | None | $478.63 | $1,122.02 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
DeanCare Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $602.56 | Facility | None | $302.00 | $457.09 | $602.56 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $524.81 Typical High $2,187.76 | Facility | None | $302.00 | $524.81 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $1,202.26 Typical High $2,884.03 | Professional | None | $537.03 | $1,202.26 | $2,884.03 |
Prevea360 Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $602.56 | Facility | None | $302.00 | $457.09 | $602.56 |
Quartz Setting Professional Modifier None Typical Low $537.03 Median $1,023.29 Typical High $1,479.11 | Professional | None | $537.03 | $1,023.29 | $1,479.11 |
Quartz Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
United Setting Professional Modifier None Typical Low $467.74 Median $1,202.26 Typical High $3,467.37 | Professional | None | $467.74 | $1,202.26 | $3,467.37 |
2 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 52 · Reduced service Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
Where Wisconsin sits
The same service costs 56.2 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
$1,000
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.