How much rates vary
Facilitymedian $1,122 · 10th to 90th $513 to $2,291Professionalmedian $759 · 10th to 90th $224 to $2,399
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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $3,019.95 | Professional | None | $537.03 | $537.03 | $3,019.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $1,174.90 Typical High $1,230.27 | Facility | None | $977.24 | $1,174.90 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $977.24 Typical High $2,398.83 | Professional | None | $181.97 | $977.24 | $2,398.83 |
CareSource Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $501.19 | Professional | None | $446.68 | $446.68 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $1,737.80 | Facility | None | $1,122.02 | $1,318.26 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $1,230.27 Typical High $1,412.54 | Professional | None | $213.80 | $1,230.27 | $1,412.54 |
DeanCare Setting Facility Modifier None Typical Low $537.03 Median $2,137.96 Typical High $2,884.03 | Facility | None | $537.03 | $2,137.96 | $2,884.03 |
DeanCare Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,019.95 | Professional | None | $2,691.53 | $2,691.53 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $537.03 Typical High $912.01 | Facility | None | $346.74 | $537.03 | $912.01 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $524.81 Typical High $2,238.72 | Professional | None | $263.03 | $524.81 | $2,238.72 |
Network Health Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $691.83 | Facility | None | $512.86 | $512.86 | $691.83 |
Network Health Setting Professional Modifier None Typical Low $446.68 Median $724.44 Typical High $1,288.25 | Professional | None | $446.68 | $724.44 | $1,288.25 |
Prevea360 Setting Facility Modifier None Typical Low $346.74 Median $537.03 Typical High $912.01 | Facility | None | $346.74 | $537.03 | $912.01 |
Quartz Setting Professional Modifier None Typical Low $501.19 Median $1,071.52 Typical High $1,479.11 | Professional | None | $501.19 | $1,071.52 | $1,479.11 |
Quartz Setting Professional Modifier None Typical Low $213.80 Median $229.09 Typical High $1,174.90 | Professional | None | $213.80 | $229.09 | $1,174.90 |
Security Health Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $954.99 | Professional | None | $338.84 | $338.84 | $954.99 |
Security Health Setting Professional Modifier None Typical Low $338.84 Median $1,318.26 Typical High $3,162.28 | Professional | None | $338.84 | $1,318.26 | $3,162.28 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
United Setting Professional Modifier None Typical Low $190.55 Median $288.40 Typical High $1,380.38 | Professional | None | $190.55 | $288.40 | $1,380.38 |
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 $269.15 Median $269.15 Typical High $1,513.56 | Professional | 52 · Reduced service | $269.15 | $269.15 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $602.56 | Professional | 53 · Discontinued | $107.15 | $107.15 | $602.56 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$794
AK $1,023FL $275
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.