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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $1,071.52 | Professional | None | $331.13 | $331.13 | $1,071.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $758.58 | Facility | None | $588.84 | $707.95 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $457.09 Typical High $1,659.59 | Professional | None | $109.65 | $457.09 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $812.83 Typical High $1,047.13 | Facility | None | $691.83 | $812.83 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $758.58 Typical High $851.14 | Professional | None | $131.83 | $758.58 | $851.14 |
DeanCare Setting Facility Modifier None Typical Low $331.13 Median $1,288.25 Typical High $1,737.80 | Facility | None | $331.13 | $1,288.25 | $1,737.80 |
DeanCare Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,819.70 | Professional | None | $1,659.59 | $1,659.59 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $331.13 Typical High $549.54 | Facility | None | $213.80 | $331.13 | $549.54 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $331.13 Typical High $1,380.38 | Professional | None | $158.49 | $331.13 | $1,380.38 |
Network Health Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $794.33 | Facility | None | $295.12 | $331.13 | $794.33 |
Network Health Setting Professional Modifier None Typical Low $275.42 Median $467.74 Typical High $776.25 | Professional | None | $275.42 | $467.74 | $776.25 |
Prevea360 Setting Facility Modifier None Typical Low $213.80 Median $331.13 Typical High $549.54 | Facility | None | $213.80 | $331.13 | $549.54 |
Quartz Setting Professional Modifier None Typical Low $302.00 Median $630.96 Typical High $831.76 | Professional | None | $302.00 | $630.96 | $831.76 |
Quartz Setting Professional Modifier None Typical Low $125.89 Median $138.04 Typical High $707.95 | Professional | None | $125.89 | $138.04 | $707.95 |
Security Health Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $588.84 | Professional | None | $275.42 | $275.42 | $588.84 |
Security Health Setting Professional Modifier None Typical Low $275.42 Median $1,513.56 Typical High $1,905.46 | Professional | None | $275.42 | $1,513.56 | $1,905.46 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $114.82 Median $190.55 Typical High $851.14 | Professional | None | $114.82 | $190.55 | $851.14 |
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 $165.96 Median $165.96 Typical High $537.03 | Professional | 52 · Reduced service | $165.96 | $165.96 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $213.80 | Professional | 53 · Discontinued | $66.07 | $66.07 | $213.80 |
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· 3rd of 51
$457
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.