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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $1,584.89 | Professional | None | $371.54 | $371.54 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $794.33 Typical High $851.14 | Facility | None | $660.69 | $794.33 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $512.86 Typical High $1,819.70 | Professional | None | $123.03 | $512.86 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $912.01 Typical High $1,174.90 | Facility | None | $776.25 | $912.01 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $851.14 Typical High $954.99 | Professional | None | $147.91 | $851.14 | $954.99 |
DeanCare Setting Facility Modifier None Typical Low $371.54 Median $1,445.44 Typical High $1,949.84 | Facility | None | $371.54 | $1,445.44 | $1,949.84 |
DeanCare Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,041.74 | Professional | None | $1,862.09 | $1,862.09 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $371.54 Typical High $616.60 | Facility | None | $239.88 | $371.54 | $616.60 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $371.54 Typical High $1,548.82 | Professional | None | $177.83 | $371.54 | $1,548.82 |
Network Health Setting Facility Modifier None Typical Low $331.13 Median $371.54 Typical High $891.25 | Facility | None | $331.13 | $371.54 | $891.25 |
Network Health Setting Professional Modifier None Typical Low $309.03 Median $489.78 Typical High $724.44 | Professional | None | $309.03 | $489.78 | $724.44 |
Prevea360 Setting Facility Modifier None Typical Low $239.88 Median $371.54 Typical High $616.60 | Facility | None | $239.88 | $371.54 | $616.60 |
Quartz Setting Professional Modifier None Typical Low $338.84 Median $707.95 Typical High $933.25 | Professional | None | $338.84 | $707.95 | $933.25 |
Quartz Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $794.33 | Professional | None | $144.54 | $162.18 | $794.33 |
Security Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $660.69 | Professional | None | $309.03 | $309.03 | $660.69 |
Security Health Setting Professional Modifier None Typical Low $309.03 Median $1,096.48 Typical High $2,137.96 | Professional | None | $309.03 | $1,096.48 | $2,137.96 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None Typical Low $128.82 Median $213.80 Typical High $954.99 | Professional | None | $128.82 | $213.80 | $954.99 |
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 $186.21 Median $186.21 Typical High $794.33 | Professional | 52 · Reduced service | $186.21 | $186.21 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $316.23 | Professional | 53 · Discontinued | $74.13 | $74.13 | $316.23 |
Where Wisconsin sits
The same service costs 4.6 times more in Texas 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· 3rd of 51
$513
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.