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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $6,606.93 | Professional | None | $1,445.44 | $1,445.44 | $6,606.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $1,737.80 Typical High $6,456.54 | Professional | None | $363.08 | $1,737.80 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $3,019.95 Median $3,548.13 Typical High $4,570.88 | Facility | None | $3,019.95 | $3,548.13 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $1,737.80 Typical High $3,715.35 | Professional | None | $575.44 | $1,737.80 | $3,715.35 |
DeanCare Setting Facility Modifier None Typical Low $1,445.44 Median $5,495.41 Typical High $7,413.10 | Facility | None | $1,445.44 | $5,495.41 | $7,413.10 |
DeanCare Setting Professional Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,943.28 | Professional | None | $7,244.36 | $7,244.36 | $7,943.28 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $1,445.44 Typical High $2,398.83 | Facility | None | $891.25 | $1,445.44 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $1,348.96 Typical High $6,025.60 | Professional | None | $691.83 | $1,348.96 | $6,025.60 |
Network Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $3,311.31 | Facility | None | $1,258.93 | $1,380.38 | $3,311.31 |
Network Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,778.28 Typical High $2,041.74 | Professional | None | $1,202.26 | $1,778.28 | $2,041.74 |
Prevea360 Setting Facility Modifier None Typical Low $891.25 Median $1,445.44 Typical High $2,398.83 | Facility | None | $891.25 | $1,445.44 | $2,398.83 |
Quartz Setting Professional Modifier None Typical Low $1,318.26 Median $2,754.23 Typical High $3,630.78 | Professional | None | $1,318.26 | $2,754.23 | $3,630.78 |
Quartz Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,995.26 | Professional | None | $575.44 | $575.44 | $1,995.26 |
Security Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Security Health Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Professional | None | $6,309.57 | $6,309.57 | $6,309.57 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None Typical Low $501.19 Median $812.83 Typical High $3,548.13 | Professional | None | $501.19 | $812.83 | $3,548.13 |
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 $724.44 Median $724.44 Typical High $3,311.31 | Professional | 52 · Reduced service | $724.44 | $724.44 | $3,311.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $1,318.26 | Professional | 53 · Discontinued | $288.40 | $288.40 | $1,318.26 |
Where Wisconsin sits
The same service costs 5.4 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· 4th of 51
$1,660
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.