How much rates vary
Facilitymedian $1,660 · 10th to 90th $398 to $4,365Professionalmedian $316 · 10th to 90th $105 to $871
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 $75.86 Median $208.93 Typical High $14,454.40 | Facility | None | $75.86 | $208.93 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $208.93 Typical High $2,137.96 | Professional | None | $75.86 | $208.93 | $2,137.96 |
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 $309.03 Typical High $549.54 | Professional | None | $109.65 | $309.03 | $549.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $165.96 Median $467.74 Typical High $831.76 | Professional | 50 · Both sides | $165.96 | $467.74 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $758.58 Typical High $1,174.90 | Facility | None | $602.56 | $758.58 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $371.54 Typical High $912.01 | Professional | None | $154.88 | $371.54 | $912.01 |
DeanCare Setting Facility Modifier None Typical Low $95.50 Median $2,754.23 Typical High $5,128.61 | Facility | None | $95.50 | $2,754.23 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $151.36 Median $251.19 Typical High $588.84 | Professional | None | $151.36 | $251.19 | $588.84 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $223.87 Median $380.19 Typical High $891.25 | Professional | 50 · Both sides | $223.87 | $380.19 | $891.25 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $1,479.11 Typical High $3,019.95 | Facility | None | $263.03 | $1,479.11 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $616.60 Typical High $1,905.46 | Professional | None | $234.42 | $616.60 | $1,905.46 |
Network Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $3,235.94 | Facility | None | $1,122.02 | $1,819.70 | $3,235.94 |
Network Health Setting Professional Modifier None Typical Low $109.65 Median $281.84 Typical High $575.44 | Professional | None | $109.65 | $281.84 | $575.44 |
Prevea360 Setting Facility Modifier None Typical Low $75.86 Median $165.96 Typical High $323.59 | Facility | None | $75.86 | $165.96 | $323.59 |
Quartz Setting Professional Modifier None Typical Low $95.50 Median $323.59 Typical High $794.33 | Professional | None | $95.50 | $323.59 | $794.33 |
Quartz Setting Facility Modifier None Typical Low $616.60 Median $812.83 Typical High $1,479.11 | Facility | None | $616.60 | $812.83 | $1,479.11 |
Quartz Setting Professional Modifier None Typical Low $154.88 Median $316.23 Typical High $478.63 | Professional | None | $154.88 | $316.23 | $478.63 |
Security Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $831.76 | Professional | None | $288.40 | $288.40 | $831.76 |
Security Health Setting Professional Modifier None Typical Low $316.23 Median $741.31 Typical High $1,584.89 | Professional | None | $316.23 | $741.31 | $1,584.89 |
The Alliance Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
United Setting Facility Modifier None Typical Low $512.86 Median $2,041.74 Typical High $3,548.13 | Facility | None | $512.86 | $2,041.74 | $3,548.13 |
United Setting Professional Modifier None Typical Low $100.00 Median $295.12 Typical High $891.25 | Professional | None | $100.00 | $295.12 | $891.25 |
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 $125.89 Typical High $295.12 | Professional | 51 · Multiple procedures | $75.86 | $125.89 | $295.12 |
Where Wisconsin sits
The same service costs 6.8 times more in New York than in North Dakota. 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
NY $2,910ND $428
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.