How much rates vary
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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $1,174.90 | Professional | None | $239.88 | $239.88 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $524.81 Typical High $549.54 | Facility | None | $426.58 | $524.81 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $426.58 Typical High $1,096.48 | Professional | None | $79.43 | $426.58 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $588.84 Typical High $776.25 | Facility | None | $501.19 | $588.84 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $549.54 Typical High $630.96 | Professional | None | $95.50 | $549.54 | $630.96 |
DeanCare Setting Facility Modifier None Typical Low $239.88 Median $933.25 Typical High $1,258.93 | Facility | None | $239.88 | $933.25 | $1,258.93 |
DeanCare Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,318.26 | Professional | None | $1,202.26 | $1,202.26 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $239.88 Typical High $398.11 | Facility | None | $154.88 | $239.88 | $398.11 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $239.88 Typical High $1,000.00 | Professional | None | $114.82 | $239.88 | $1,000.00 |
Network Health Setting Facility Modifier None Typical Low $213.80 Median $239.88 Typical High $575.44 | Facility | None | $213.80 | $239.88 | $575.44 |
Network Health Setting Professional Modifier None Typical Low $199.53 Median $338.84 Typical High $562.34 | Professional | None | $199.53 | $338.84 | $562.34 |
Prevea360 Setting Facility Modifier None Typical Low $154.88 Median $239.88 Typical High $398.11 | Facility | None | $154.88 | $239.88 | $398.11 |
Quartz Setting Professional Modifier None Typical Low $223.87 Median $467.74 Typical High $660.69 | Professional | None | $223.87 | $467.74 | $660.69 |
Quartz Setting Professional Modifier None Typical Low $95.50 Median $102.33 Typical High $524.81 | Professional | None | $95.50 | $102.33 | $524.81 |
Security Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Security Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,513.56 | Professional | None | $1,096.48 | $1,096.48 | $1,513.56 |
United Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
United Setting Professional Modifier None Typical Low $83.18 Median $141.25 Typical High $616.60 | Professional | None | $83.18 | $141.25 | $616.60 |
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 $120.23 Median $120.23 Typical High $588.84 | Professional | 52 · Reduced service | $120.23 | $120.23 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $234.42 | Professional | 53 · Discontinued | $47.86 | $47.86 | $234.42 |
Where Wisconsin sits
The same service costs 3.8 times more in Texas than in Oklahoma. 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· 4th of 51
$389
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.