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 $645.65 Typical High $645.65 | Facility | None | $199.53 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $6,025.60 | Professional | None | $512.86 | $645.65 | $6,025.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $1,905.46 Typical High $3,388.44 | Professional | None | $407.38 | $1,905.46 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,288.25 Typical High $1,905.46 | Facility | None | $1,122.02 | $1,288.25 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $933.25 Typical High $2,398.83 | Professional | None | $501.19 | $933.25 | $2,398.83 |
DeanCare Setting Facility Modifier None Typical Low $398.11 Median $512.86 Typical High $851.14 | Facility | None | $398.11 | $512.86 | $851.14 |
DeanCare Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,202.26 | Professional | None | $891.25 | $1,071.52 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $512.86 Typical High $851.14 | Facility | None | $398.11 | $512.86 | $851.14 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $1,230.27 Typical High $14,125.38 | Professional | None | $478.63 | $1,230.27 | $14,125.38 |
Network Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $812.83 | Facility | None | $630.96 | $630.96 | $812.83 |
Network Health Setting Professional Modifier None Typical Low $588.84 Median $1,047.13 Typical High $1,905.46 | Professional | None | $588.84 | $1,047.13 | $1,905.46 |
Prevea360 Setting Facility Modifier None Typical Low $398.11 Median $512.86 Typical High $851.14 | Facility | None | $398.11 | $512.86 | $851.14 |
Quartz Setting Professional Modifier None Typical Low $467.74 Median $1,071.52 Typical High $1,995.26 | Professional | None | $467.74 | $1,071.52 | $1,995.26 |
Quartz Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,905.46 | Professional | None | $616.60 | $616.60 | $1,905.46 |
Security Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Security Health Setting Professional Modifier None Typical Low $1,412.54 Median $2,570.40 Typical High $3,311.31 | Professional | None | $1,412.54 | $2,570.40 | $3,311.31 |
The Alliance Setting Professional Modifier None Typical Low $891.25 Median $2,238.72 Typical High $3,311.31 | Professional | None | $891.25 | $2,238.72 | $3,311.31 |
United Setting Professional Modifier None Typical Low $457.09 Median $1,122.02 Typical High $2,454.71 | Professional | None | $457.09 | $1,122.02 | $2,454.71 |
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 $323.59 Median $323.59 Typical High $3,090.30 | Professional | 52 · Reduced service | $323.59 | $323.59 | $3,090.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $1,230.27 | Professional | 53 · Discontinued | $128.82 | $128.82 | $1,230.27 |
Where Wisconsin sits
The same service costs 4.2 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
$1,318
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.