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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $2,187.76 | Professional | None | $208.93 | $208.93 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $457.09 Typical High $478.63 | Facility | None | $380.19 | $457.09 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $295.12 Typical High $1,047.13 | Professional | None | $70.79 | $295.12 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $512.86 Typical High $676.08 | Facility | None | $436.52 | $512.86 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $478.63 Typical High $549.54 | Professional | None | $83.18 | $478.63 | $549.54 |
DeanCare Setting Facility Modifier None Typical Low $208.93 Median $831.76 Typical High $1,122.02 | Facility | None | $208.93 | $831.76 | $1,122.02 |
DeanCare Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,174.90 | Professional | None | $1,047.13 | $1,047.13 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $354.81 | Facility | None | $134.90 | $208.93 | $354.81 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $208.93 Typical High $870.96 | Professional | None | $102.33 | $208.93 | $870.96 |
Network Health Setting Facility Modifier None Typical Low $190.55 Median $208.93 Typical High $501.19 | Facility | None | $190.55 | $208.93 | $501.19 |
Network Health Setting Professional Modifier None Typical Low $173.78 Median $281.84 Typical High $416.87 | Professional | None | $173.78 | $281.84 | $416.87 |
Prevea360 Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $354.81 | Facility | None | $134.90 | $208.93 | $354.81 |
Quartz Setting Professional Modifier None Typical Low $194.98 Median $407.38 Typical High $524.81 | Professional | None | $194.98 | $407.38 | $524.81 |
Quartz Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $457.09 | Professional | None | $81.28 | $91.20 | $457.09 |
Security Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $371.54 | Professional | None | $173.78 | $173.78 | $371.54 |
Security Health Setting Professional Modifier None Typical Low $173.78 Median $954.99 Typical High $1,230.27 | Professional | None | $173.78 | $954.99 | $1,230.27 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $74.13 Median $123.03 Typical High $537.03 | Professional | None | $74.13 | $123.03 | $537.03 |
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 $104.71 Median $104.71 Typical High $1,096.48 | Professional | 52 · Reduced service | $104.71 | $104.71 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $436.52 | Professional | 53 · Discontinued | $41.69 | $41.69 | $436.52 |
Where Wisconsin sits
The same service costs 8.3 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
$295
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.