How much rates vary
Facilitymedian $1,514 · 10th to 90th $661 to $2,818Professionalmedian $933 · 10th to 90th $275 to $2,818
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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $3,467.37 | Professional | None | $660.69 | $660.69 | $3,467.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $1,513.56 | Facility | None | $1,202.26 | $1,445.44 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $1,202.26 Typical High $3,090.30 | Professional | None | $223.87 | $1,202.26 | $3,090.30 |
CareSource Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $616.60 | Professional | None | $562.34 | $562.34 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $2,137.96 | Facility | None | $1,380.38 | $1,621.81 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $1,513.56 Typical High $1,737.80 | Professional | None | $269.15 | $1,513.56 | $1,737.80 |
DeanCare Setting Facility Modifier None Typical Low $660.69 Median $2,630.27 Typical High $3,548.13 | Facility | None | $660.69 | $2,630.27 | $3,548.13 |
DeanCare Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,715.35 | Professional | None | $3,311.31 | $3,311.31 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $660.69 Typical High $1,548.82 | Facility | None | $426.58 | $660.69 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $645.65 Typical High $2,754.23 | Professional | None | $323.59 | $645.65 | $2,754.23 |
Network Health Setting Facility Modifier None Typical Low $602.56 Median $660.69 Typical High $1,584.89 | Facility | None | $602.56 | $660.69 | $1,584.89 |
Network Health Setting Professional Modifier None Typical Low $562.34 Median $954.99 Typical High $1,584.89 | Professional | None | $562.34 | $954.99 | $1,584.89 |
Prevea360 Setting Facility Modifier None Typical Low $426.58 Median $660.69 Typical High $1,122.02 | Facility | None | $426.58 | $660.69 | $1,122.02 |
Quartz Setting Professional Modifier None Typical Low $616.60 Median $1,318.26 Typical High $1,819.70 | Professional | None | $616.60 | $1,318.26 | $1,819.70 |
Quartz Setting Professional Modifier None Typical Low $269.15 Median $281.84 Typical High $1,445.44 | Professional | None | $269.15 | $281.84 | $1,445.44 |
Security Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,174.90 | Professional | None | $562.34 | $562.34 | $1,174.90 |
Security Health Setting Professional Modifier None Typical Low $562.34 Median $3,019.95 Typical High $3,890.45 | Professional | None | $562.34 | $3,019.95 | $3,890.45 |
United Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
United Setting Professional Modifier None Typical Low $234.42 Median $389.05 Typical High $1,698.24 | Professional | None | $234.42 | $389.05 | $1,698.24 |
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 $331.13 Median $331.13 Typical High $1,737.80 | Professional | 52 · Reduced service | $331.13 | $331.13 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $691.83 | Professional | 53 · Discontinued | $134.90 | $134.90 | $691.83 |
Where Wisconsin sits
The same service costs 4.6 times more in Kansas 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· 3rd of 51
$977
KS $1,514OK $331
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.