How much rates vary
Facilitymedian $5,623 · 10th to 90th $832 to $13,490Professionalmedian $5,888 · 10th to 90th $2,570 to $9,120
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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $3,467.37 Typical High $11,748.98 | Professional | None | $2,290.87 | $3,467.37 | $11,748.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $7,585.78 Typical High $11,481.54 | Facility | None | $5,011.87 | $7,585.78 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,884.03 Median $7,079.46 Typical High $10,000.00 | Professional | None | $2,884.03 | $7,079.46 | $10,000.00 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $6,165.95 Typical High $8,128.31 | Facility | None | $758.58 | $6,165.95 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $5,623.41 Typical High $7,943.28 | Professional | None | $2,884.03 | $5,623.41 | $7,943.28 |
DeanCare Setting Facility Modifier None Typical Low $2,630.27 Median $7,943.28 Typical High $14,454.40 | Facility | None | $2,630.27 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $4,265.80 Median $6,309.57 Typical High $7,079.46 | Professional | None | $4,265.80 | $6,309.57 | $7,079.46 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,691.53 Typical High $18,197.01 | Facility | None | $436.52 | $2,691.53 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $2,398.83 Median $4,897.79 Typical High $8,912.51 | Professional | None | $2,398.83 | $4,897.79 | $8,912.51 |
Network Health Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,265.80 | Facility | None | $3,467.37 | $3,467.37 | $4,265.80 |
Network Health Setting Professional Modifier None Typical Low $3,467.37 Median $5,011.87 Typical High $6,606.93 | Professional | None | $3,467.37 | $5,011.87 | $6,606.93 |
Prevea360 Setting Facility Modifier None Typical Low $2,187.76 Median $2,818.38 Typical High $4,786.30 | Facility | None | $2,187.76 | $2,818.38 | $4,786.30 |
Quartz Setting Professional Modifier None Typical Low $2,570.40 Median $5,495.41 Typical High $10,232.93 | Professional | None | $2,570.40 | $5,495.41 | $10,232.93 |
Quartz Setting Facility Modifier None Typical Low $645.65 Median $954.99 Typical High $2,691.53 | Facility | None | $645.65 | $954.99 | $2,691.53 |
Quartz Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $6,760.83 | Professional | None | $3,388.44 | $3,388.44 | $6,760.83 |
Security Health Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,365.16 | $4,365.16 | $4,365.16 |
Security Health Setting Professional Modifier None Typical Low $4,168.69 Median $7,079.46 Typical High $7,585.78 | Professional | None | $4,168.69 | $7,079.46 | $7,585.78 |
United Setting Facility Modifier None Typical Low $602.56 Median $3,090.30 Typical High $18,197.01 | Facility | None | $602.56 | $3,090.30 | $18,197.01 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $5,128.61 Typical High $6,918.31 | Professional | None | $2,187.76 | $5,128.61 | $6,918.31 |
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 $1,737.80 Median $1,737.80 Typical High $6,456.54 | Professional | 52 · Reduced service | $1,737.80 | $1,737.80 | $6,456.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $707.95 Typical High $2,570.40 | Professional | 53 · Discontinued | $707.95 | $707.95 | $2,570.40 |
Where Wisconsin sits
The same service costs 4.3 times more in Alaska than in Arkansas. 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.
Physician feeFacility fee
AK $12,394AR $2,907
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.