How much rates vary
Facilitymedian $162 · 10th to 90th $68 to $302Professionalmedian $115 · 10th to 90th $32 to $363
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 $851.14 | Professional | None | $77.62 | $77.62 | $851.14 |
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 $26.30 Median $134.90 Typical High $346.74 | Professional | None | $26.30 | $134.90 | $346.74 |
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 $281.84 Typical High $380.19 | Facility | None | $77.62 | $281.84 | $380.19 |
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 $50.12 Median $77.62 Typical High $131.83 | Facility | None | $50.12 | $77.62 | $131.83 |
Medica Setting Professional Modifier None Typical Low $35.48 Median $75.86 Typical High $323.59 | Professional | None | $35.48 | $75.86 | $323.59 |
Network Health Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $100.00 | Facility | None | $67.61 | $67.61 | $100.00 |
Network Health Setting Professional Modifier None Typical Low $66.07 Median $104.71 Typical High $186.21 | Professional | None | $66.07 | $104.71 | $186.21 |
Prevea360 Setting Facility Modifier None Typical Low $50.12 Median $77.62 Typical High $131.83 | Facility | None | $50.12 | $77.62 | $131.83 |
Quartz Setting Professional Modifier None Typical Low $72.44 Median $154.88 Typical High $213.80 | Professional | None | $72.44 | $154.88 | $213.80 |
Quartz Setting Professional Modifier None Typical Low $31.62 Median $33.11 Typical High $169.82 | Professional | None | $31.62 | $33.11 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $138.04 | Professional | None | $44.67 | $44.67 | $138.04 |
Security Health Setting Professional Modifier None Typical Low $44.67 Median $218.78 Typical High $457.09 | Professional | None | $44.67 | $218.78 | $457.09 |
The Alliance Setting Professional Modifier None Typical Low $114.82 Median $275.42 Typical High $426.58 | Professional | None | $114.82 | $275.42 | $426.58 |
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 $27.54 Median $41.69 Typical High $199.53 | Professional | None | $27.54 | $41.69 | $199.53 |
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 $426.58 | Professional | 52 · Reduced service | $38.90 | $38.90 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $169.82 | Professional | 53 · Discontinued | $15.85 | $15.85 | $169.82 |
Where Wisconsin sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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
$123
AK $148KY $43.65
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.