How much rates vary
Facilitymedian $741 · 10th to 90th $339 to $1,514Professionalmedian $501 · 10th to 90th $141 to $1,622
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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $2,570.40 | Professional | None | $354.81 | $354.81 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $776.25 Typical High $812.83 | Facility | None | $630.96 | $776.25 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $630.96 Typical High $1,584.89 | Professional | None | $117.49 | $630.96 | $1,584.89 |
CareSource Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $323.59 | Professional | None | $295.12 | $295.12 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $870.96 Typical High $1,148.15 | Facility | None | $741.31 | $870.96 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $812.83 Typical High $933.25 | Professional | None | $141.25 | $812.83 | $933.25 |
DeanCare Setting Facility Modifier None Typical Low $354.81 Median $1,380.38 Typical High $1,862.09 | Facility | None | $354.81 | $1,380.38 | $1,862.09 |
DeanCare Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,949.84 | Professional | None | $1,778.28 | $1,778.28 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $354.81 Typical High $588.84 | Facility | None | $229.09 | $354.81 | $588.84 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $354.81 Typical High $1,479.11 | Professional | None | $169.82 | $354.81 | $1,479.11 |
Network Health Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $457.09 | Facility | None | $338.84 | $338.84 | $457.09 |
Network Health Setting Professional Modifier None Typical Low $295.12 Median $478.63 Typical High $831.76 | Professional | None | $295.12 | $478.63 | $831.76 |
Prevea360 Setting Facility Modifier None Typical Low $229.09 Median $354.81 Typical High $588.84 | Facility | None | $229.09 | $354.81 | $588.84 |
Quartz Setting Professional Modifier None Typical Low $331.13 Median $691.83 Typical High $977.24 | Professional | None | $331.13 | $691.83 | $977.24 |
Quartz Setting Professional Modifier None Typical Low $134.90 Median $147.91 Typical High $776.25 | Professional | None | $134.90 | $147.91 | $776.25 |
Security Health Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $630.96 | Professional | None | $223.87 | $223.87 | $630.96 |
Security Health Setting Professional Modifier None Typical Low $223.87 Median $1,621.81 Typical High $2,089.30 | Professional | None | $223.87 | $1,621.81 | $2,089.30 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $123.03 Median $208.93 Typical High $912.01 | Professional | None | $123.03 | $208.93 | $912.01 |
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 $177.83 Median $177.83 Typical High $1,288.25 | Professional | 52 · Reduced service | $177.83 | $177.83 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $512.86 | Professional | 53 · Discontinued | $70.79 | $70.79 | $512.86 |
Where Wisconsin sits
The same service costs 3.8 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
$550
AK $661AL $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.