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 $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $2,691.53 | Professional | None | $338.84 | $338.84 | $2,691.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $741.31 Typical High $776.25 | Facility | None | $602.56 | $741.31 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $478.63 Typical High $1,698.24 | Professional | None | $112.20 | $478.63 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $831.76 Typical High $1,096.48 | Facility | None | $707.95 | $831.76 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $776.25 Typical High $891.25 | Professional | None | $134.90 | $776.25 | $891.25 |
DeanCare Setting Facility Modifier None Typical Low $338.84 Median $1,318.26 Typical High $1,778.28 | Facility | None | $338.84 | $1,318.26 | $1,778.28 |
DeanCare Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,862.09 | Professional | None | $1,698.24 | $1,698.24 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $562.34 | Facility | None | $218.78 | $338.84 | $562.34 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $338.84 Typical High $1,412.54 | Professional | None | $165.96 | $338.84 | $1,412.54 |
Network Health Setting Facility Modifier None Typical Low $309.03 Median $338.84 Typical High $812.83 | Facility | None | $309.03 | $338.84 | $812.83 |
Network Health Setting Professional Modifier None Typical Low $281.84 Median $478.63 Typical High $794.33 | Professional | None | $281.84 | $478.63 | $794.33 |
Prevea360 Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $562.34 | Facility | None | $218.78 | $338.84 | $562.34 |
Quartz Setting Professional Modifier None Typical Low $316.23 Median $660.69 Typical High $851.14 | Professional | None | $316.23 | $660.69 | $851.14 |
Quartz Setting Professional Modifier None Typical Low $128.82 Median $141.25 Typical High $741.31 | Professional | None | $128.82 | $141.25 | $741.31 |
Security Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $602.56 | Professional | None | $281.84 | $281.84 | $602.56 |
Security Health Setting Professional Modifier None Typical Low $281.84 Median $1,047.13 Typical High $1,995.26 | Professional | None | $281.84 | $1,047.13 | $1,995.26 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $117.49 Median $199.53 Typical High $870.96 | Professional | None | $117.49 | $199.53 | $870.96 |
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 $169.82 Median $169.82 Typical High $1,348.96 | Professional | 52 · Reduced service | $169.82 | $169.82 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $537.03 | Professional | 53 · Discontinued | $67.61 | $67.61 | $537.03 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska 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· 2nd of 51
$479
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.