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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $1,905.46 | Professional | None | $524.81 | $524.81 | $1,905.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,202.26 | Facility | None | $954.99 | $1,148.15 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $645.65 Typical High $1,905.46 | Professional | None | $177.83 | $645.65 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,698.24 | Facility | None | $1,096.48 | $1,288.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $1,202.26 Typical High $1,380.38 | Professional | None | $208.93 | $1,202.26 | $1,380.38 |
DeanCare Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $1,122.02 | Facility | None | $524.81 | $851.14 | $1,122.02 |
DeanCare Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,951.21 | Professional | None | $2,630.27 | $2,630.27 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $524.81 Typical High $870.96 | Facility | None | $338.84 | $524.81 | $870.96 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $436.52 Typical High $2,187.76 | Professional | None | $107.15 | $436.52 | $2,187.76 |
Network Health Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $676.08 | Facility | None | $199.53 | $199.53 | $676.08 |
Network Health Setting Professional Modifier None Typical Low $251.19 Median $707.95 Typical High $1,258.93 | Professional | None | $251.19 | $707.95 | $1,258.93 |
Prevea360 Setting Facility Modifier None Typical Low $338.84 Median $524.81 Typical High $870.96 | Facility | None | $338.84 | $524.81 | $870.96 |
Quartz Setting Professional Modifier None Typical Low $489.78 Median $1,023.29 Typical High $1,445.44 | Professional | None | $489.78 | $1,023.29 | $1,445.44 |
Quartz Setting Professional Modifier None Typical Low $199.53 Median $208.93 Typical High $1,148.15 | Professional | None | $199.53 | $208.93 | $1,148.15 |
Security Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $933.25 | Professional | None | $131.83 | $131.83 | $933.25 |
Security Health Setting Professional Modifier None Typical Low $131.83 Median $2,398.83 Typical High $3,090.30 | Professional | None | $131.83 | $2,398.83 | $3,090.30 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None Typical Low $107.15 Median $263.03 Typical High $1,348.96 | Professional | None | $107.15 | $263.03 | $1,348.96 |
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 $263.03 Median $263.03 Typical High $954.99 | Professional | 52 · Reduced service | $263.03 | $263.03 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $389.05 | Professional | 53 · Discontinued | $104.71 | $104.71 | $389.05 |
Where Wisconsin sits
The same service costs 7.1 times more in Texas than in North Carolina. 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
$646
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.