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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $3,162.28 | Professional | None | $389.05 | $389.05 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $891.25 | Facility | None | $691.83 | $851.14 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $691.83 Typical High $1,778.28 | Professional | None | $128.82 | $691.83 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $954.99 Typical High $1,258.93 | Facility | None | $812.83 | $954.99 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $891.25 Typical High $1,023.29 | Professional | None | $154.88 | $891.25 | $1,023.29 |
DeanCare Setting Facility Modifier None Typical Low $389.05 Median $1,513.56 Typical High $2,041.74 | Facility | None | $389.05 | $1,513.56 | $2,041.74 |
DeanCare Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,137.96 | Professional | None | $1,949.84 | $1,949.84 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $645.65 | Facility | None | $251.19 | $389.05 | $645.65 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $389.05 Typical High $1,621.81 | Professional | None | $186.21 | $389.05 | $1,621.81 |
Network Health Setting Facility Modifier None Typical Low $346.74 Median $389.05 Typical High $933.25 | Facility | None | $346.74 | $389.05 | $933.25 |
Network Health Setting Professional Modifier None Typical Low $323.59 Median $549.54 Typical High $912.01 | Professional | None | $323.59 | $549.54 | $912.01 |
Prevea360 Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $645.65 | Facility | None | $251.19 | $389.05 | $645.65 |
Quartz Setting Professional Modifier None Typical Low $363.08 Median $758.58 Typical High $1,071.52 | Professional | None | $363.08 | $758.58 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $851.14 | Professional | None | $147.91 | $165.96 | $851.14 |
Security Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $691.83 | Professional | None | $323.59 | $323.59 | $691.83 |
Security Health Setting Professional Modifier None Typical Low $323.59 Median $1,778.28 Typical High $2,290.87 | Professional | None | $323.59 | $1,778.28 | $2,290.87 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $134.90 Median $229.09 Typical High $1,000.00 | Professional | None | $134.90 | $229.09 | $1,000.00 |
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 $194.98 Median $194.98 Typical High $1,584.89 | Professional | 52 · Reduced service | $194.98 | $194.98 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $630.96 | Professional | 53 · Discontinued | $77.62 | $77.62 | $630.96 |
Where Wisconsin sits
The same service costs 4.2 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
$550
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.