How much rates vary
Facilitymedian $1,318 · 10th to 90th $813 to $1,995Professionalmedian $1,148 · 10th to 90th $339 to $3,715
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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $4,168.69 | Professional | None | $812.83 | $812.83 | $4,168.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $1,862.09 | Facility | None | $1,445.44 | $1,778.28 | $1,862.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $1,445.44 Typical High $4,168.69 | Professional | None | $281.84 | $1,445.44 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $2,630.27 | Facility | None | $1,698.24 | $1,995.26 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $1,862.09 Typical High $2,089.30 | Professional | None | $323.59 | $1,862.09 | $2,089.30 |
DeanCare Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $1,348.96 | Facility | None | $524.81 | $812.83 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $1,348.96 | Facility | None | $524.81 | $812.83 | $1,348.96 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $812.83 Typical High $3,388.44 | Professional | None | $407.38 | $812.83 | $3,388.44 |
Network Health Setting Facility Modifier None Typical Low $812.83 Median $891.25 Typical High $1,047.13 | Facility | None | $812.83 | $891.25 | $1,047.13 |
Network Health Setting Professional Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,905.46 | Professional | None | $676.08 | $1,096.48 | $1,905.46 |
Prevea360 Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $1,348.96 | Facility | None | $524.81 | $812.83 | $1,348.96 |
Quartz Setting Professional Modifier None Typical Low $758.58 Median $1,584.89 Typical High $2,344.23 | Professional | None | $758.58 | $1,584.89 | $2,344.23 |
Quartz Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $1,778.28 | Professional | None | $323.59 | $354.81 | $1,778.28 |
Security Health Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $1,445.44 | Professional | None | $588.84 | $588.84 | $1,445.44 |
Security Health Setting Professional Modifier None Typical Low $588.84 Median $2,290.87 Typical High $4,786.30 | Professional | None | $588.84 | $2,290.87 | $4,786.30 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
United Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $2,187.76 | Professional | None | $331.13 | $467.74 | $2,187.76 |
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 $407.38 Median $407.38 Typical High $2,089.30 | Professional | 52 · Reduced service | $407.38 | $407.38 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $831.76 | Professional | 53 · Discontinued | $162.18 | $162.18 | $831.76 |
DeanCare Setting Professional Modifier 59 · Distinct service Typical Low $4,073.80 Median $4,073.80 Typical High $4,466.84 | Professional | 59 · Distinct service | $4,073.80 | $4,073.80 | $4,466.84 |
Where Wisconsin sits
The same service costs 3.6 times more in Texas than in Delaware. 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
$1,148
TX $1,660DE $457
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.