How much rates vary
Facilitymedian $479 · 10th to 90th $224 to $1,000Professionalmedian $324 · 10th to 90th $93 to $1,047
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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $1,737.80 | Professional | None | $234.42 | $234.42 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $501.19 Typical High $537.03 | Facility | None | $416.87 | $501.19 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $416.87 Typical High $1,047.13 | Professional | None | $77.62 | $416.87 | $1,047.13 |
CareSource Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $213.80 | Professional | None | $194.98 | $194.98 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $562.34 Typical High $741.31 | Facility | None | $478.63 | $562.34 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $524.81 Typical High $602.56 | Professional | None | $93.33 | $524.81 | $602.56 |
DeanCare Setting Facility Modifier None Typical Low $234.42 Median $933.25 Typical High $1,258.93 | Facility | None | $234.42 | $933.25 | $1,258.93 |
DeanCare Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,288.25 | Professional | None | $1,148.15 | $1,148.15 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $389.05 | Facility | None | $147.91 | $234.42 | $389.05 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $223.87 Typical High $977.24 | Professional | None | $112.20 | $223.87 | $977.24 |
Network Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $295.12 | Facility | None | $223.87 | $223.87 | $295.12 |
Network Health Setting Professional Modifier None Typical Low $194.98 Median $309.03 Typical High $549.54 | Professional | None | $194.98 | $309.03 | $549.54 |
Prevea360 Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $389.05 | Facility | None | $147.91 | $234.42 | $389.05 |
Quartz Setting Professional Modifier None Typical Low $213.80 Median $457.09 Typical High $645.65 | Professional | None | $213.80 | $457.09 | $645.65 |
Quartz Setting Professional Modifier None Typical Low $89.13 Median $97.72 Typical High $501.19 | Professional | None | $89.13 | $97.72 | $501.19 |
Security Health Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $407.38 | Professional | None | $147.91 | $147.91 | $407.38 |
Security Health Setting Professional Modifier None Typical Low $147.91 Median $575.44 Typical High $1,348.96 | Professional | None | $147.91 | $575.44 | $1,348.96 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $602.56 | Professional | None | $83.18 | $123.03 | $602.56 |
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 $114.82 Median $114.82 Typical High $870.96 | Professional | 52 · Reduced service | $114.82 | $114.82 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $346.74 | Professional | 53 · Discontinued | $46.77 | $46.77 | $346.74 |
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
$339
AK $437DE $117
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.