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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $1,047.13 | Professional | None | $208.93 | $208.93 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $446.68 Typical High $478.63 | Facility | None | $371.54 | $446.68 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $371.54 Typical High $1,096.48 | Professional | None | $74.13 | $371.54 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $501.19 Typical High $660.69 | Facility | None | $436.52 | $501.19 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $478.63 Typical High $537.03 | Professional | None | $83.18 | $478.63 | $537.03 |
DeanCare Setting Facility Modifier None Typical Low $208.93 Median $954.99 Typical High $1,288.25 | Facility | None | $208.93 | $954.99 | $1,288.25 |
DeanCare Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,148.15 | Professional | None | $1,023.29 | $1,023.29 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $208.93 Typical High $346.74 | Facility | None | $131.83 | $208.93 | $346.74 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $208.93 Typical High $870.96 | Professional | None | $104.71 | $208.93 | $870.96 |
Network Health Setting Facility Modifier None Typical Low $208.93 Median $229.09 Typical High $263.03 | Facility | None | $208.93 | $229.09 | $263.03 |
Network Health Setting Professional Modifier None Typical Low $173.78 Median $288.40 Typical High $489.78 | Professional | None | $173.78 | $288.40 | $489.78 |
Prevea360 Setting Facility Modifier None Typical Low $131.83 Median $208.93 Typical High $346.74 | Facility | None | $131.83 | $208.93 | $346.74 |
Quartz Setting Professional Modifier None Typical Low $190.55 Median $407.38 Typical High $602.56 | Professional | None | $190.55 | $407.38 | $602.56 |
Quartz Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $446.68 | Professional | None | $83.18 | $93.33 | $446.68 |
Security Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $371.54 | Professional | None | $154.88 | $154.88 | $371.54 |
Security Health Setting Professional Modifier None Typical Low $154.88 Median $933.25 Typical High $1,202.26 | Professional | None | $154.88 | $933.25 | $1,202.26 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $562.34 | Professional | None | $85.11 | $123.03 | $562.34 |
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 $104.71 Median $104.71 Typical High $524.81 | Professional | 52 · Reduced service | $104.71 | $104.71 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $208.93 | Professional | 53 · Discontinued | $41.69 | $41.69 | $208.93 |
Where Wisconsin sits
The same service costs 3.4 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· 3rd of 51
$339
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.