How much rates vary
Facilitymedian $407 · 10th to 90th $195 to $1,122Professionalmedian $316 · 10th to 90th $95 to $955
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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $1,202.26 | Professional | None | $194.98 | $194.98 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $426.58 Typical High $446.68 | Facility | None | $354.81 | $426.58 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $354.81 Typical High $1,202.26 | Professional | None | $81.28 | $354.81 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $478.63 Typical High $630.96 | Facility | None | $407.38 | $478.63 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $446.68 Typical High $512.86 | Professional | None | $77.62 | $446.68 | $512.86 |
DeanCare Setting Facility Modifier None Typical Low $194.98 Median $1,047.13 Typical High $1,412.54 | Facility | None | $194.98 | $1,047.13 | $1,412.54 |
DeanCare Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,096.48 | Professional | None | $977.24 | $977.24 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $194.98 Typical High $691.83 | Facility | None | $151.36 | $194.98 | $691.83 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $223.87 Typical High $812.83 | Professional | None | $97.72 | $223.87 | $812.83 |
Network Health Setting Facility Modifier None Typical Low $194.98 Median $251.19 Typical High $251.19 | Facility | None | $194.98 | $251.19 | $251.19 |
Network Health Setting Professional Modifier None Typical Low $162.18 Median $281.84 Typical High $467.74 | Professional | None | $162.18 | $281.84 | $467.74 |
Prevea360 Setting Facility Modifier None Typical Low $125.89 Median $194.98 Typical High $354.81 | Facility | None | $125.89 | $194.98 | $354.81 |
Quartz Setting Professional Modifier None Typical Low $181.97 Median $416.87 Typical High $562.34 | Professional | None | $181.97 | $416.87 | $562.34 |
Quartz Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $426.58 | Professional | None | $77.62 | $102.33 | $426.58 |
Security Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $346.74 | Professional | None | $169.82 | $169.82 | $346.74 |
Security Health Setting Professional Modifier None Typical Low $169.82 Median $891.25 Typical High $1,148.15 | Professional | None | $169.82 | $891.25 | $1,148.15 |
The Alliance Setting Professional Modifier None Typical Low $288.40 Median $812.83 Typical High $1,230.27 | Professional | None | $288.40 | $812.83 | $1,230.27 |
United Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
United Setting Professional Modifier None Typical Low $74.13 Median $134.90 Typical High $630.96 | Professional | None | $74.13 | $134.90 | $630.96 |
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 $97.72 Median $97.72 Typical High $602.56 | Professional | 52 · Reduced service | $97.72 | $97.72 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $239.88 | Professional | 53 · Discontinued | $38.90 | $38.90 | $239.88 |
Where Wisconsin sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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
$339
AK $372CT $97.72
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.