How much rates vary
Facilitymedian $170 · 10th to 90th $78 to $457Professionalmedian $132 · 10th to 90th $38 to $437
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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $1,584.89 | Professional | None | $77.62 | $77.62 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $177.83 | Facility | None | $141.25 | $169.82 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $141.25 Typical High $478.63 | Professional | None | $32.36 | $141.25 | $478.63 |
CareSource Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $72.44 | Professional | None | $66.07 | $66.07 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $190.55 Typical High $251.19 | Facility | None | $162.18 | $190.55 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $177.83 Typical High $204.17 | Professional | None | $31.62 | $177.83 | $204.17 |
DeanCare Setting Facility Modifier None Typical Low $77.62 Median $416.87 Typical High $562.34 | Facility | None | $77.62 | $416.87 | $562.34 |
DeanCare Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $436.52 | Professional | None | $389.05 | $389.05 | $436.52 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $131.83 Typical High $457.09 | Facility | None | $66.07 | $131.83 | $457.09 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $91.20 Typical High $323.59 | Professional | None | $38.90 | $91.20 | $323.59 |
Network Health Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $100.00 | Facility | None | $77.62 | $100.00 | $100.00 |
Network Health Setting Professional Modifier None Typical Low $66.07 Median $112.20 Typical High $186.21 | Professional | None | $66.07 | $112.20 | $186.21 |
Prevea360 Setting Facility Modifier None Typical Low $50.12 Median $77.62 Typical High $141.25 | Facility | None | $50.12 | $77.62 | $141.25 |
Quartz Setting Professional Modifier None Typical Low $72.44 Median $165.96 Typical High $223.87 | Professional | None | $72.44 | $165.96 | $223.87 |
Quartz Setting Professional Modifier None Typical Low $31.62 Median $40.74 Typical High $169.82 | Professional | None | $31.62 | $40.74 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $138.04 | Professional | None | $67.61 | $67.61 | $138.04 |
Security Health Setting Professional Modifier None Typical Low $67.61 Median $331.13 Typical High $457.09 | Professional | None | $67.61 | $331.13 | $457.09 |
The Alliance Setting Professional Modifier None Typical Low $114.82 Median $323.59 Typical High $489.78 | Professional | None | $114.82 | $323.59 | $489.78 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $32.36 Median $53.70 Typical High $251.19 | Professional | None | $32.36 | $53.70 | $251.19 |
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 $38.90 Median $38.90 Typical High $812.83 | Professional | 52 · Reduced service | $38.90 | $38.90 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $323.59 | Professional | 53 · Discontinued | $15.85 | $15.85 | $323.59 |
Where Wisconsin sits
The same service costs 4.8 times more in Kansas than in Illinois. 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
$138
KS $240IL $50.12
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.