How much rates vary
Facilitymedian $955 · 10th to 90th $195 to $2,399Professionalmedian $1,096 · 10th to 90th $324 to $3,162
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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $3,019.95 | Professional | None | $954.99 | $954.99 | $3,019.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $2,089.30 Typical High $2,187.76 | Facility | None | $1,737.80 | $2,089.30 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $1,258.93 Typical High $3,162.28 | Professional | None | $323.59 | $1,258.93 | $3,162.28 |
CareSource Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $3,090.30 | Facility | None | $1,995.26 | $2,344.23 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $1,348.96 Typical High $2,511.89 | Professional | None | $380.19 | $1,348.96 | $2,511.89 |
DeanCare Setting Facility Modifier None Typical Low $194.98 Median $1,621.81 Typical High $2,570.40 | Facility | None | $194.98 | $1,621.81 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $758.58 Typical High $3,801.89 | Facility | None | $194.98 | $758.58 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $645.65 Typical High $2,238.72 | Professional | None | $269.15 | $645.65 | $2,238.72 |
Network Health Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $1,230.27 | Facility | None | $512.86 | $512.86 | $1,230.27 |
Network Health Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $2,290.87 | Professional | None | $602.56 | $794.33 | $2,290.87 |
Prevea360 Setting Facility Modifier None Typical Low $194.98 Median $660.69 Typical High $1,023.29 | Facility | None | $194.98 | $660.69 | $1,023.29 |
Quartz Setting Professional Modifier None Typical Low $891.25 Median $1,819.70 Typical High $2,630.27 | Professional | None | $891.25 | $1,819.70 | $2,630.27 |
Quartz Setting Professional Modifier None Typical Low $162.18 Median $380.19 Typical High $2,089.30 | Professional | None | $162.18 | $380.19 | $2,089.30 |
Security Health Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $1,698.24 | Professional | None | $338.84 | $338.84 | $1,698.24 |
Security Health Setting Professional Modifier None Typical Low $338.84 Median $4,365.16 Typical High $5,623.41 | Professional | None | $338.84 | $4,365.16 | $5,623.41 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
United Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $2,454.71 | Professional | None | $338.84 | $478.63 | $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 $478.63 Median $478.63 Typical High $1,513.56 | Professional | 52 · Reduced service | $478.63 | $478.63 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $602.56 | Professional | 53 · Discontinued | $190.55 | $190.55 | $602.56 |
Where Wisconsin sits
The same service costs 11.0 times more in Alaska than in Alabama. 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· 5th of 51
$1,047
AK $1,820AL $166
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.