How much rates vary
Facilitymedian $3,631 · 10th to 90th $2,188 to $5,370Professionalmedian $3,090 · 10th to 90th $1,047 to $10,000
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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $10,964.78 | Professional | None | $2,187.76 | $2,187.76 | $10,964.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $4,786.30 Typical High $5,011.87 | Facility | None | $3,890.45 | $4,786.30 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $3,890.45 Typical High $13,182.57 | Professional | None | $891.25 | $3,890.45 | $13,182.57 |
CareSource Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,995.26 | Professional | None | $1,819.70 | $1,819.70 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $5,370.32 Typical High $7,079.46 | Facility | None | $4,570.88 | $5,370.32 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $5,011.87 Typical High $5,754.40 | Professional | None | $933.25 | $5,011.87 | $5,754.40 |
DeanCare Setting Facility Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $3,981.07 | Facility | None | $1,412.54 | $2,187.76 | $3,981.07 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $3,981.07 | Facility | None | $1,412.54 | $2,187.76 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $2,511.89 Typical High $9,120.11 | Professional | None | $1,096.48 | $2,511.89 | $9,120.11 |
Network Health Setting Facility Modifier None Typical Low $2,187.76 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,187.76 | $2,818.38 | $2,818.38 |
Network Health Setting Professional Modifier None Typical Low $1,819.70 Median $3,090.30 Typical High $5,128.61 | Professional | None | $1,819.70 | $3,090.30 | $5,128.61 |
Prevea360 Setting Facility Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $3,981.07 | Facility | None | $1,412.54 | $2,187.76 | $3,981.07 |
Quartz Setting Professional Modifier None Typical Low $2,041.74 Median $4,570.88 Typical High $6,309.57 | Professional | None | $2,041.74 | $4,570.88 | $6,309.57 |
Quartz Setting Professional Modifier None Typical Low $870.96 Median $1,148.15 Typical High $4,786.30 | Professional | None | $870.96 | $1,148.15 | $4,786.30 |
Security Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,890.45 | Professional | None | $1,862.09 | $1,862.09 | $3,890.45 |
Security Health Setting Professional Modifier None Typical Low $1,862.09 Median $7,244.36 Typical High $12,882.50 | Professional | None | $1,862.09 | $7,244.36 | $12,882.50 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,479.11 Typical High $6,918.31 | Professional | None | $812.83 | $1,479.11 | $6,918.31 |
3 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 $1,096.48 Median $1,096.48 Typical High $5,495.41 | Professional | 52 · Reduced service | $1,096.48 | $1,096.48 | $5,495.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $2,187.76 | Professional | 53 · Discontinued | $436.52 | $436.52 | $2,187.76 |
DeanCare Setting Professional Modifier 59 · Distinct service Typical Low $10,964.78 Median $10,964.78 Typical High $12,022.64 | Professional | 59 · Distinct service | $10,964.78 | $10,964.78 | $12,022.64 |
Where Wisconsin sits
The same service costs 4.3 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· 3rd of 51
$3,090
AK $4,074AL $955
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.