How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $199.53 Median $257.04 Typical High $257.04 | Facility | None | $199.53 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $2,041.74 | Professional | None | $181.97 | $257.04 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $660.69 Typical High $1,348.96 | Professional | None | $162.18 | $660.69 | $1,348.96 |
CareSource Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $512.86 Typical High $758.58 | Facility | None | $446.68 | $512.86 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $371.54 Typical High $933.25 | Professional | None | $213.80 | $371.54 | $933.25 |
DeanCare Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $331.13 | Facility | None | $158.49 | $199.53 | $331.13 |
DeanCare Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $467.74 | Professional | None | $346.74 | $426.58 | $467.74 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $331.13 | Facility | None | $158.49 | $199.53 | $331.13 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $512.86 Typical High $2,511.89 | Professional | None | $194.98 | $512.86 | $2,511.89 |
Network Health Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $316.23 | Facility | None | $251.19 | $251.19 | $316.23 |
Network Health Setting Professional Modifier None Typical Low $234.42 Median $416.87 Typical High $758.58 | Professional | None | $234.42 | $416.87 | $758.58 |
Prevea360 Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $331.13 | Facility | None | $158.49 | $199.53 | $331.13 |
Quartz Setting Professional Modifier None Typical Low $186.21 Median $426.58 Typical High $794.33 | Professional | None | $186.21 | $426.58 | $794.33 |
Quartz Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $758.58 | Professional | None | $245.47 | $245.47 | $758.58 |
Security Health Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Security Health Setting Professional Modifier None Typical Low $562.34 Median $1,023.29 Typical High $1,318.26 | Professional | None | $562.34 | $1,023.29 | $1,318.26 |
The Alliance Setting Professional Modifier None Typical Low $354.81 Median $891.25 Typical High $1,318.26 | Professional | None | $354.81 | $891.25 | $1,318.26 |
United Setting Professional Modifier None Typical Low $181.97 Median $446.68 Typical High $977.24 | Professional | None | $181.97 | $446.68 | $977.24 |
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 $128.82 Median $128.82 Typical High $1,023.29 | Professional | 52 · Reduced service | $128.82 | $128.82 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $407.38 | Professional | 53 · Discontinued | $51.29 | $51.29 | $407.38 |
Where Wisconsin sits
The same service costs 4.5 times more in Alaska than in Florida. 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
$490
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.