How much rates vary
Facilitymedian $1,820 · 10th to 90th $132 to $4,467Professionalmedian $229 · 10th to 90th $105 to $407
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 $91.20 Median $134.90 Typical High $14,454.40 | Facility | None | $91.20 | $134.90 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $134.90 Typical High $1,445.44 | Professional | None | $91.20 | $134.90 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $234.42 Typical High $331.13 | Professional | None | $109.65 | $234.42 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $186.21 Typical High $398.11 | Facility | None | $104.71 | $186.21 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $177.83 Typical High $389.05 | Professional | None | $107.15 | $177.83 | $389.05 |
DeanCare Setting Facility Modifier None Typical Low $89.13 Median $2,630.27 Typical High $5,128.61 | Facility | None | $89.13 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $407.38 | Professional | None | $162.18 | $245.47 | $407.38 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $1,548.82 Typical High $3,630.78 | Facility | None | $199.53 | $1,548.82 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $346.74 Typical High $602.56 | Professional | None | $144.54 | $346.74 | $602.56 |
Network Health Setting Facility Modifier None Typical Low $891.25 Median $1,819.70 Typical High $3,235.94 | Facility | None | $891.25 | $1,819.70 | $3,235.94 |
Network Health Setting Professional Modifier None Typical Low $165.96 Median $281.84 Typical High $346.74 | Professional | None | $165.96 | $281.84 | $346.74 |
Prevea360 Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $229.09 | Facility | None | $83.18 | $125.89 | $229.09 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $251.19 Typical High $398.11 | Professional | None | $131.83 | $251.19 | $398.11 |
Quartz Setting Facility Modifier None Typical Low $102.33 Median $125.89 Typical High $186.21 | Facility | None | $102.33 | $125.89 | $186.21 |
Quartz Setting Professional Modifier None Typical Low $107.15 Median $162.18 Typical High $239.88 | Professional | None | $107.15 | $162.18 | $239.88 |
Security Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $208.93 | Professional | None | $138.04 | $138.04 | $208.93 |
Security Health Setting Professional Modifier None Typical Low $154.88 Median $257.04 Typical High $363.08 | Professional | None | $154.88 | $257.04 | $363.08 |
United Setting Facility Modifier None Typical Low $512.86 Median $2,238.72 Typical High $3,548.13 | Facility | None | $512.86 | $2,238.72 | $3,548.13 |
United Setting Professional Modifier None Typical Low $102.33 Median $239.88 Typical High $489.78 | Professional | None | $102.33 | $239.88 | $489.78 |
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 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $67.61 | Facility | 52 · Reduced service | $44.67 | $44.67 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $26.92 | Facility | 53 · Discontinued | $18.20 | $18.20 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $67.61 Typical High $724.44 | Professional | 52 · Reduced service | $44.67 | $67.61 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $26.92 Typical High $295.12 | Professional | 53 · Discontinued | $18.20 | $26.92 | $295.12 |
Where Wisconsin sits
The same service costs 2.8 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· 2nd of 51
$257
AK $263KY $93.33
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.