How much rates vary
Facilitymedian $275 · 10th to 90th $123 to $525Professionalmedian $178 · 10th to 90th $51 to $562
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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $1,202.26 | Professional | None | $123.03 | $123.03 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $281.84 | Facility | None | $218.78 | $263.03 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $218.78 Typical High $562.34 | Professional | None | $40.74 | $218.78 | $562.34 |
CareSource Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $112.20 | Professional | None | $102.33 | $102.33 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $302.00 Typical High $389.05 | Facility | None | $257.04 | $302.00 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $281.84 Typical High $316.23 | Professional | None | $48.98 | $281.84 | $316.23 |
DeanCare Setting Facility Modifier None Typical Low $123.03 Median $478.63 Typical High $645.65 | Facility | None | $123.03 | $478.63 | $645.65 |
DeanCare Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $676.08 | Professional | None | $616.60 | $616.60 | $676.08 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $123.03 Typical High $204.17 | Facility | None | $79.43 | $123.03 | $204.17 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $123.03 Typical High $512.86 | Professional | None | $58.88 | $123.03 | $512.86 |
Network Health Setting Facility Modifier None Typical Low $109.65 Median $123.03 Typical High $295.12 | Facility | None | $109.65 | $123.03 | $295.12 |
Network Health Setting Professional Modifier None Typical Low $102.33 Median $173.78 Typical High $288.40 | Professional | None | $102.33 | $173.78 | $288.40 |
Prevea360 Setting Facility Modifier None Typical Low $79.43 Median $123.03 Typical High $204.17 | Facility | None | $79.43 | $123.03 | $204.17 |
Quartz Setting Professional Modifier None Typical Low $112.20 Median $239.88 Typical High $338.84 | Professional | None | $112.20 | $239.88 | $338.84 |
Quartz Setting Professional Modifier None Typical Low $48.98 Median $51.29 Typical High $263.03 | Professional | None | $48.98 | $51.29 | $263.03 |
Security Health Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Security Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $776.25 | Professional | None | $562.34 | $562.34 | $776.25 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
United Setting Professional Modifier None Typical Low $42.66 Median $72.44 Typical High $316.23 | Professional | None | $42.66 | $72.44 | $316.23 |
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 $61.66 Median $61.66 Typical High $602.56 | Professional | 52 · Reduced service | $61.66 | $61.66 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $239.88 | Professional | 53 · Discontinued | $24.55 | $24.55 | $239.88 |
Where Wisconsin sits
The same service costs 3.7 times more in Kansas than in Alabama. 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
$195
KS $234AL $63.10
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.