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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $1,584.89 | Professional | None | $407.38 | $407.38 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $870.96 Typical High $933.25 | Facility | None | $724.44 | $870.96 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $489.78 Typical High $1,479.11 | Professional | None | $134.90 | $489.78 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,288.25 | Facility | None | $851.14 | $1,000.00 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $933.25 Typical High $1,047.13 | Professional | None | $162.18 | $933.25 | $1,047.13 |
DeanCare Setting Facility Modifier None Typical Low $407.38 Median $630.96 Typical High $812.83 | Facility | None | $407.38 | $630.96 | $812.83 |
DeanCare Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,238.72 | Professional | None | $2,041.74 | $2,041.74 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $407.38 Typical High $676.08 | Facility | None | $263.03 | $407.38 | $676.08 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $338.84 Typical High $1,698.24 | Professional | None | $77.62 | $338.84 | $1,698.24 |
Network Health Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $524.81 | Facility | None | $147.91 | $147.91 | $524.81 |
Network Health Setting Professional Modifier None Typical Low $181.97 Median $537.03 Typical High $954.99 | Professional | None | $181.97 | $537.03 | $954.99 |
Prevea360 Setting Facility Modifier None Typical Low $263.03 Median $407.38 Typical High $676.08 | Facility | None | $263.03 | $407.38 | $676.08 |
Quartz Setting Professional Modifier None Typical Low $371.54 Median $794.33 Typical High $1,122.02 | Professional | None | $371.54 | $794.33 | $1,122.02 |
Quartz Setting Professional Modifier None Typical Low $154.88 Median $162.18 Typical High $870.96 | Professional | None | $154.88 | $162.18 | $870.96 |
Security Health Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $724.44 | Professional | None | $97.72 | $97.72 | $724.44 |
Security Health Setting Professional Modifier None Typical Low $97.72 Median $416.87 Typical High $2,344.23 | Professional | None | $97.72 | $416.87 | $2,344.23 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $77.62 Median $204.17 Typical High $1,047.13 | Professional | None | $77.62 | $204.17 | $1,047.13 |
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 $204.17 Median $204.17 Typical High $794.33 | Professional | 52 · Reduced service | $204.17 | $204.17 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $316.23 | Professional | 53 · Discontinued | $81.28 | $81.28 | $316.23 |
Where Wisconsin sits
The same service costs 6.6 times more in Texas 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· 3rd of 51
$490
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.