How much rates vary
Facilitymedian $1,000 · 10th to 90th $447 to $1,905Professionalmedian $676 · 10th to 90th $178 to $1,862
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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $1,513.56 | Professional | None | $446.68 | $446.68 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $977.24 Typical High $1,023.29 | Facility | None | $812.83 | $977.24 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $812.83 Typical High $2,041.74 | Professional | None | $151.36 | $812.83 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,445.44 | Facility | None | $933.25 | $1,096.48 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $1,023.29 Typical High $1,174.90 | Professional | None | $177.83 | $1,023.29 | $1,174.90 |
DeanCare Setting Facility Modifier None Typical Low $446.68 Median $1,737.80 Typical High $2,398.83 | Facility | None | $446.68 | $1,737.80 | $2,398.83 |
DeanCare Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,511.89 | Professional | None | $2,238.72 | $2,238.72 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $758.58 | Facility | None | $288.40 | $446.68 | $758.58 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $446.68 Typical High $1,862.09 | Professional | None | $218.78 | $446.68 | $1,862.09 |
Network Health Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $1,071.52 | Facility | None | $407.38 | $446.68 | $1,071.52 |
Network Health Setting Professional Modifier None Typical Low $371.54 Median $630.96 Typical High $1,071.52 | Professional | None | $371.54 | $630.96 | $1,071.52 |
Prevea360 Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $758.58 | Facility | None | $288.40 | $446.68 | $758.58 |
Quartz Setting Professional Modifier None Typical Low $416.87 Median $891.25 Typical High $1,230.27 | Professional | None | $416.87 | $891.25 | $1,230.27 |
Quartz Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $977.24 | Professional | None | $169.82 | $190.55 | $977.24 |
Security Health Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Security Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $2,884.03 | Professional | None | $2,041.74 | $2,089.30 | $2,884.03 |
United Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
United Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $1,148.15 | Professional | None | $158.49 | $263.03 | $1,148.15 |
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 $223.87 Median $223.87 Typical High $758.58 | Professional | 52 · Reduced service | $223.87 | $223.87 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $302.00 | Professional | 53 · Discontinued | $89.13 | $89.13 | $302.00 |
Where Wisconsin sits
The same service costs 4.9 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· 3rd of 51
$724
AK $851AL $174
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.