How much rates vary
Facilitymedian $5,248 · 10th to 90th $832 to $13,490Professionalmedian $2,884 · 10th to 90th $1,230 to $4,571
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $7,943.28 | Professional | None | $1,096.48 | $1,288.25 | $7,943.28 |
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 $1,318.26 Median $3,311.31 Typical High $4,570.88 | Professional | None | $1,318.26 | $3,311.31 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,818.38 Typical High $3,715.35 | Facility | None | $758.58 | $2,818.38 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $2,238.72 Typical High $3,630.78 | Professional | None | $1,318.26 | $2,238.72 | $3,630.78 |
DeanCare Setting Facility Modifier None Typical Low $1,174.90 Median $7,943.28 Typical High $14,454.40 | Facility | None | $1,174.90 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $1,949.84 Median $2,884.03 Typical High $3,715.35 | Professional | None | $1,949.84 | $2,884.03 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,454.71 Typical High $18,197.01 | Facility | None | $436.52 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $2,511.89 Typical High $4,570.88 | Professional | None | $1,202.26 | $2,511.89 | $4,570.88 |
Network Health Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,238.72 | Facility | None | $1,584.89 | $1,584.89 | $2,238.72 |
Network Health Setting Professional Modifier None Typical Low $1,584.89 Median $2,754.23 Typical High $3,162.28 | Professional | None | $1,584.89 | $2,754.23 | $3,162.28 |
Prevea360 Setting Facility Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $2,344.23 | Facility | None | $1,000.00 | $1,258.93 | $2,344.23 |
Quartz Setting Professional Modifier None Typical Low $1,174.90 Median $2,511.89 Typical High $4,677.35 | Professional | None | $1,174.90 | $2,511.89 | $4,677.35 |
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 $1,548.82 Median $1,548.82 Typical High $3,019.95 | Professional | None | $1,548.82 | $1,548.82 | $3,019.95 |
Security Health Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Security Health Setting Professional Modifier None Typical Low $2,187.76 Median $3,235.94 Typical High $3,715.35 | Professional | None | $2,187.76 | $3,235.94 | $3,715.35 |
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 $1,071.52 Median $2,630.27 Typical High $3,467.37 | Professional | None | $1,071.52 | $2,630.27 | $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 $645.65 Median $645.65 Typical High $3,981.07 | Professional | 52 · Reduced service | $645.65 | $645.65 | $3,981.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $1,584.89 | Professional | 53 · Discontinued | $257.04 | $257.04 | $1,584.89 |
Where Wisconsin sits
The same service costs 3.5 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.
Wisconsin· 2nd of 51
$3,090
AK $3,715AR $1,072
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.