How much rates vary
Facilitymedian $871 · 10th to 90th $417 to $1,995Professionalmedian $646 · 10th to 90th $174 to $2,089
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $3,548.13 | Professional | None | $416.87 | $416.87 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $912.01 Typical High $954.99 | Facility | None | $741.31 | $912.01 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $741.31 Typical High $2,089.30 | Professional | None | $144.54 | $741.31 | $2,089.30 |
CareSource Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $380.19 | Professional | None | $346.74 | $346.74 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,348.96 | Facility | None | $870.96 | $1,023.29 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $954.99 Typical High $1,096.48 | Professional | None | $165.96 | $954.99 | $1,096.48 |
DeanCare Setting Facility Modifier None Typical Low $416.87 Median $1,862.09 Typical High $2,511.89 | Facility | None | $416.87 | $1,862.09 | $2,511.89 |
DeanCare Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,344.23 | Professional | None | $2,089.30 | $2,089.30 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $416.87 Typical High $691.83 | Facility | None | $269.15 | $416.87 | $691.83 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $416.87 Typical High $1,737.80 | Professional | None | $208.93 | $416.87 | $1,737.80 |
Network Health Setting Facility Modifier None Typical Low $416.87 Median $446.68 Typical High $537.03 | Facility | None | $416.87 | $446.68 | $537.03 |
Network Health Setting Professional Modifier None Typical Low $346.74 Median $562.34 Typical High $977.24 | Professional | None | $346.74 | $562.34 | $977.24 |
Prevea360 Setting Facility Modifier None Typical Low $269.15 Median $416.87 Typical High $691.83 | Facility | None | $269.15 | $416.87 | $691.83 |
Quartz Setting Professional Modifier None Typical Low $389.05 Median $812.83 Typical High $1,202.26 | Professional | None | $389.05 | $812.83 | $1,202.26 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $912.01 | Professional | None | $165.96 | $181.97 | $912.01 |
Security Health Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $741.31 | Professional | None | $295.12 | $295.12 | $741.31 |
Security Health Setting Professional Modifier None Typical Low $295.12 Median $1,905.46 Typical High $2,454.71 | Professional | None | $295.12 | $1,905.46 | $2,454.71 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $165.96 Median $239.88 Typical High $1,096.48 | Professional | None | $165.96 | $239.88 | $1,096.48 |
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 $208.93 Median $208.93 Typical High $1,778.28 | Professional | 52 · Reduced service | $208.93 | $208.93 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $707.95 | Professional | 53 · Discontinued | $83.18 | $83.18 | $707.95 |
Where Wisconsin sits
The same service costs 4.5 times more in Alaska than in Alabama. 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
$676
AK $776AL $174
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.