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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $1,258.93 | Professional | None | $346.74 | $346.74 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $758.58 Typical High $794.33 | Facility | None | $630.96 | $758.58 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $489.78 Typical High $1,737.80 | Professional | None | $117.49 | $489.78 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $851.14 Typical High $1,122.02 | Facility | None | $724.44 | $851.14 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $794.33 Typical High $912.01 | Professional | None | $138.04 | $794.33 | $912.01 |
DeanCare Setting Facility Modifier None Typical Low $346.74 Median $1,348.96 Typical High $1,862.09 | Facility | None | $346.74 | $1,348.96 | $1,862.09 |
DeanCare Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,949.84 | Professional | None | $1,737.80 | $1,737.80 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $346.74 Typical High $588.84 | Facility | None | $223.87 | $346.74 | $588.84 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $346.74 Typical High $1,445.44 | Professional | None | $169.82 | $346.74 | $1,445.44 |
Network Health Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $831.76 | Facility | None | $316.23 | $346.74 | $831.76 |
Network Health Setting Professional Modifier None Typical Low $288.40 Median $489.78 Typical High $831.76 | Professional | None | $288.40 | $489.78 | $831.76 |
Prevea360 Setting Facility Modifier None Typical Low $223.87 Median $346.74 Typical High $588.84 | Facility | None | $223.87 | $346.74 | $588.84 |
Quartz Setting Professional Modifier None Typical Low $323.59 Median $676.08 Typical High $870.96 | Professional | None | $323.59 | $676.08 | $870.96 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $758.58 | Professional | None | $131.83 | $147.91 | $758.58 |
Security Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $616.60 | Professional | None | $288.40 | $288.40 | $616.60 |
Security Health Setting Professional Modifier None Typical Low $288.40 Median $1,584.89 Typical High $2,041.74 | Professional | None | $288.40 | $1,584.89 | $2,041.74 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $123.03 Median $204.17 Typical High $891.25 | Professional | None | $123.03 | $204.17 | $891.25 |
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 $173.78 Median $173.78 Typical High $630.96 | Professional | 52 · Reduced service | $173.78 | $173.78 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $251.19 | Professional | 53 · Discontinued | $69.18 | $69.18 | $251.19 |
Where Wisconsin sits
The same service costs 4.5 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
$490
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.