How much rates vary
Facilitymedian $1,259 · 10th to 90th $490 to $1,905Professionalmedian $955 · 10th to 90th $257 to $3,162
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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $2,884.03 | Professional | None | $776.25 | $776.25 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,659.59 Typical High $1,778.28 | Facility | None | $1,380.38 | $1,659.59 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $1,071.52 Typical High $2,818.38 | Professional | None | $257.04 | $1,071.52 | $2,818.38 |
CareSource Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $707.95 | Professional | None | $645.65 | $645.65 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $2,454.71 | Facility | None | $1,621.81 | $1,862.09 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $1,778.28 Typical High $1,995.26 | Professional | None | $309.03 | $1,778.28 | $1,995.26 |
DeanCare Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $1,288.25 | Facility | None | $489.78 | $776.25 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $1,288.25 | Facility | None | $489.78 | $776.25 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $645.65 Typical High $3,235.94 | Professional | None | $173.78 | $645.65 | $3,235.94 |
Network Health Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $977.24 | Facility | None | $323.59 | $323.59 | $977.24 |
Network Health Setting Professional Modifier None Typical Low $407.38 Median $1,023.29 Typical High $1,819.70 | Professional | None | $407.38 | $1,023.29 | $1,819.70 |
Prevea360 Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $1,288.25 | Facility | None | $489.78 | $776.25 | $1,288.25 |
Quartz Setting Professional Modifier None Typical Low $707.95 Median $1,479.11 Typical High $2,137.96 | Professional | None | $707.95 | $1,479.11 | $2,137.96 |
Quartz Setting Professional Modifier None Typical Low $295.12 Median $309.03 Typical High $1,659.59 | Professional | None | $295.12 | $309.03 | $1,659.59 |
Security Health Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $1,380.38 | Professional | None | $218.78 | $218.78 | $1,380.38 |
Security Health Setting Professional Modifier None Typical Low $218.78 Median $3,467.37 Typical High $4,466.84 | Professional | None | $218.78 | $3,467.37 | $4,466.84 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
United Setting Professional Modifier None Typical Low $173.78 Median $389.05 Typical High $1,995.26 | Professional | None | $173.78 | $389.05 | $1,995.26 |
3 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 $389.05 Median $389.05 Typical High $1,445.44 | Professional | 52 · Reduced service | $389.05 | $389.05 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $588.84 | Professional | 53 · Discontinued | $154.88 | $154.88 | $588.84 |
DeanCare Setting Professional Modifier 59 · Distinct service Typical Low $3,801.89 Median $3,801.89 Typical High $4,265.80 | Professional | 59 · Distinct service | $3,801.89 | $3,801.89 | $4,265.80 |
Where Wisconsin sits
The same service costs 5.0 times more in Alaska than in North Carolina. 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· 4th of 51
$955
AK $1,445NC $288
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.