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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $1,621.81 | Professional | None | $295.12 | $295.12 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $645.65 Typical High $676.08 | Facility | None | $524.81 | $645.65 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $524.81 Typical High $1,318.26 | Professional | None | $97.72 | $524.81 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $724.44 Typical High $954.99 | Facility | None | $616.60 | $724.44 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $676.08 Typical High $776.25 | Professional | None | $117.49 | $676.08 | $776.25 |
DeanCare Setting Facility Modifier None Typical Low $295.12 Median $1,148.15 Typical High $1,548.82 | Facility | None | $295.12 | $1,148.15 | $1,548.82 |
DeanCare Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,659.59 | Professional | None | $1,479.11 | $1,479.11 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $489.78 | Facility | None | $190.55 | $295.12 | $489.78 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $288.40 Typical High $1,230.27 | Professional | None | $144.54 | $288.40 | $1,230.27 |
Network Health Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $380.19 | Facility | None | $281.84 | $281.84 | $380.19 |
Network Health Setting Professional Modifier None Typical Low $245.47 Median $398.11 Typical High $691.83 | Professional | None | $245.47 | $398.11 | $691.83 |
Prevea360 Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $489.78 | Facility | None | $190.55 | $295.12 | $489.78 |
Quartz Setting Professional Modifier None Typical Low $275.42 Median $575.44 Typical High $812.83 | Professional | None | $275.42 | $575.44 | $812.83 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $125.89 Typical High $645.65 | Professional | None | $117.49 | $125.89 | $645.65 |
Security Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $524.81 | Professional | None | $186.21 | $186.21 | $524.81 |
Security Health Setting Professional Modifier None Typical Low $186.21 Median $724.44 Typical High $1,737.80 | Professional | None | $186.21 | $724.44 | $1,737.80 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $104.71 Median $158.49 Typical High $758.58 | Professional | None | $104.71 | $158.49 | $758.58 |
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 $147.91 Median $147.91 Typical High $812.83 | Professional | 52 · Reduced service | $147.91 | $147.91 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $323.59 | Professional | 53 · Discontinued | $58.88 | $58.88 | $323.59 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Connecticut. 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
$447
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.