How much rates vary
Facilitymedian $1,622 · 10th to 90th $724 to $3,090Professionalmedian $1,072 · 10th to 90th $288 to $3,020
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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,995.26 | Professional | None | $724.44 | $724.44 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $1,659.59 | Facility | None | $1,288.25 | $1,548.82 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $1,288.25 Typical High $3,311.31 | Professional | None | $239.88 | $1,288.25 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $2,290.87 | Facility | None | $1,513.56 | $1,778.28 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $1,659.59 Typical High $1,862.09 | Professional | None | $288.40 | $1,659.59 | $1,862.09 |
DeanCare Setting Facility Modifier None Typical Low $724.44 Median $2,818.38 Typical High $3,801.89 | Facility | None | $724.44 | $2,818.38 | $3,801.89 |
DeanCare Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,981.07 | Professional | None | $3,630.78 | $3,630.78 | $3,981.07 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $1,202.26 | Facility | None | $457.09 | $724.44 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $724.44 Typical High $3,019.95 | Professional | None | $346.74 | $724.44 | $3,019.95 |
Network Health Setting Facility Modifier None Typical Low $645.65 Median $724.44 Typical High $1,737.80 | Facility | None | $645.65 | $724.44 | $1,737.80 |
Network Health Setting Professional Modifier None Typical Low $602.56 Median $1,023.29 Typical High $1,698.24 | Professional | None | $602.56 | $1,023.29 | $1,698.24 |
Prevea360 Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $1,202.26 | Facility | None | $457.09 | $724.44 | $1,202.26 |
Quartz Setting Professional Modifier None Typical Low $660.69 Median $1,412.54 Typical High $1,995.26 | Professional | None | $660.69 | $1,412.54 | $1,995.26 |
Quartz Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $1,548.82 | Professional | None | $269.15 | $302.00 | $1,548.82 |
Security Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Security Health Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $4,570.88 | Professional | None | $3,311.31 | $3,311.31 | $4,570.88 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
United Setting Professional Modifier None Typical Low $251.19 Median $416.87 Typical High $1,862.09 | Professional | None | $251.19 | $416.87 | $1,862.09 |
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 $363.08 Median $363.08 Typical High $1,000.00 | Professional | 52 · Reduced service | $363.08 | $363.08 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $398.11 | Professional | 53 · Discontinued | $144.54 | $144.54 | $398.11 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Delaware. 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
$1,148
AK $1,349DE $363
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.