How much rates vary
Facilitymedian $2,570 · 10th to 90th $245 to $4,677Professionalmedian $324 · 10th to 90th $105 to $1,023
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 $77.62 Median $204.17 Typical High $14,454.40 | Facility | None | $77.62 | $204.17 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $204.17 Typical High $707.95 | Professional | None | $77.62 | $204.17 | $707.95 |
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 $125.89 Median $263.03 Typical High $575.44 | Professional | None | $125.89 | $263.03 | $575.44 |
CareSource Setting Professional Modifier None Typical Low $251.19 Median $269.15 Typical High $275.42 | Professional | None | $251.19 | $269.15 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $676.08 Typical High $1,000.00 | Facility | None | $588.84 | $676.08 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $389.05 Typical High $891.25 | Professional | None | $158.49 | $389.05 | $891.25 |
DeanCare Setting Facility Modifier None Typical Low $123.03 Median $2,754.23 Typical High $5,128.61 | Facility | None | $123.03 | $2,754.23 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $151.36 Median $302.00 Typical High $616.60 | Professional | None | $151.36 | $302.00 | $616.60 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $2,691.53 Typical High $4,168.69 | Facility | None | $204.17 | $2,691.53 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $630.96 Typical High $1,659.59 | Professional | None | $363.08 | $630.96 | $1,659.59 |
Network Health Setting Facility Modifier None Typical Low $1,819.70 Median $2,951.21 Typical High $3,235.94 | Facility | None | $1,819.70 | $2,951.21 | $3,235.94 |
Network Health Setting Professional Modifier None Typical Low $91.20 Median $162.18 Typical High $407.38 | Professional | None | $91.20 | $162.18 | $407.38 |
Prevea360 Setting Facility Modifier None Typical Low $93.33 Median $169.82 Typical High $331.13 | Facility | None | $93.33 | $169.82 | $331.13 |
Quartz Setting Professional Modifier None Typical Low $97.72 Median $269.15 Typical High $562.34 | Professional | None | $97.72 | $269.15 | $562.34 |
Quartz Setting Professional Modifier None Typical Low $162.18 Median $407.38 Typical High $489.78 | Professional | None | $162.18 | $407.38 | $489.78 |
Security Health Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $870.96 | Professional | None | $302.00 | $302.00 | $870.96 |
Security Health Setting Professional Modifier None Typical Low $316.23 Median $645.65 Typical High $1,698.24 | Professional | None | $316.23 | $645.65 | $1,698.24 |
The Alliance Setting Professional Modifier None Typical Low $194.98 Median $524.81 Typical High $1,737.80 | Professional | None | $194.98 | $524.81 | $1,737.80 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,818.38 Typical High $4,365.16 | Facility | None | $2,041.74 | $2,818.38 | $4,365.16 |
United Setting Professional Modifier None Typical Low $125.89 Median $380.19 Typical High $1,148.15 | Professional | None | $125.89 | $380.19 | $1,148.15 |
1 more rate 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 |
|---|---|---|---|---|---|
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $147.91 Typical High $302.00 | Professional | 51 · Multiple procedures | $75.86 | $147.91 | $302.00 |
Where Wisconsin sits
The same service costs 4.1 times more in Minnesota 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
$363
MN $363KY $89.13
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.