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 $162.18 Median $162.18 Typical High $199.53 | Facility | None | $162.18 | $162.18 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $1,122.02 | Professional | None | $162.18 | $162.18 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $426.58 Typical High $870.96 | Professional | None | $102.33 | $426.58 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $331.13 Typical High $489.78 | Facility | None | $288.40 | $331.13 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $239.88 Typical High $602.56 | Professional | None | $128.82 | $239.88 | $602.56 |
DeanCare Setting Facility Modifier None Typical Low $100.00 Median $128.82 Typical High $208.93 | Facility | None | $100.00 | $128.82 | $208.93 |
DeanCare Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $302.00 | Professional | None | $223.87 | $269.15 | $302.00 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $128.82 Typical High $208.93 | Facility | None | $100.00 | $128.82 | $208.93 |
Medica Setting Professional Modifier None Typical Low $117.49 Median $281.84 Typical High $660.69 | Professional | None | $117.49 | $281.84 | $660.69 |
Network Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $194.98 | Facility | None | $158.49 | $158.49 | $194.98 |
Network Health Setting Professional Modifier None Typical Low $147.91 Median $257.04 Typical High $478.63 | Professional | None | $147.91 | $257.04 | $478.63 |
Prevea360 Setting Facility Modifier None Typical Low $100.00 Median $128.82 Typical High $208.93 | Facility | None | $100.00 | $128.82 | $208.93 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $269.15 Typical High $489.78 | Professional | None | $117.49 | $269.15 | $489.78 |
Quartz Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $467.74 | Professional | None | $154.88 | $154.88 | $467.74 |
Security Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Security Health Setting Professional Modifier None Typical Low $338.84 Median $660.69 Typical High $831.76 | Professional | None | $338.84 | $660.69 | $831.76 |
The Alliance Setting Professional Modifier None Typical Low $223.87 Median $562.34 Typical High $812.83 | Professional | None | $223.87 | $562.34 | $812.83 |
United Setting Professional Modifier None Typical Low $109.65 Median $263.03 Typical High $602.56 | Professional | None | $109.65 | $263.03 | $602.56 |
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 $81.28 Median $81.28 Typical High $562.34 | Professional | 52 · Reduced service | $81.28 | $81.28 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $223.87 | Professional | 53 · Discontinued | $32.36 | $32.36 | $223.87 |
Where Wisconsin sits
The same service costs 4.4 times more in Alaska than in New York. 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
$309
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.