How much rates vary
Facilitymedian $309 · 10th to 90th $148 to $851Professionalmedian $234 · 10th to 90th $71 to $676
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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $1,174.90 | Professional | None | $147.91 | $147.91 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $316.23 Typical High $338.84 | Facility | None | $263.03 | $316.23 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $263.03 Typical High $891.25 | Professional | None | $60.26 | $263.03 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $354.81 Typical High $467.74 | Facility | None | $309.03 | $354.81 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $338.84 Typical High $380.19 | Professional | None | $58.88 | $338.84 | $380.19 |
DeanCare Setting Facility Modifier None Typical Low $147.91 Median $776.25 Typical High $1,047.13 | Facility | None | $147.91 | $776.25 | $1,047.13 |
DeanCare Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $812.83 | Professional | None | $724.44 | $724.44 | $812.83 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $147.91 Typical High $269.15 | Facility | None | $123.03 | $147.91 | $269.15 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $169.82 Typical High $616.60 | Professional | None | $74.13 | $169.82 | $616.60 |
Network Health Setting Facility Modifier None Typical Low $147.91 Median $190.55 Typical High $190.55 | Facility | None | $147.91 | $190.55 | $190.55 |
Network Health Setting Professional Modifier None Typical Low $123.03 Median $208.93 Typical High $346.74 | Professional | None | $123.03 | $208.93 | $346.74 |
Prevea360 Setting Facility Modifier None Typical Low $93.33 Median $147.91 Typical High $269.15 | Facility | None | $93.33 | $147.91 | $269.15 |
Quartz Setting Professional Modifier None Typical Low $134.90 Median $309.03 Typical High $426.58 | Professional | None | $134.90 | $309.03 | $426.58 |
Quartz Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $316.23 | Professional | None | $58.88 | $75.86 | $316.23 |
Security Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $263.03 | Professional | None | $125.89 | $125.89 | $263.03 |
Security Health Setting Professional Modifier None Typical Low $125.89 Median $489.78 Typical High $851.14 | Professional | None | $125.89 | $489.78 | $851.14 |
The Alliance Setting Professional Modifier None Typical Low $218.78 Median $524.81 Typical High $794.33 | Professional | None | $218.78 | $524.81 | $794.33 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $54.95 Median $100.00 Typical High $467.74 | Professional | None | $54.95 | $100.00 | $467.74 |
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 $74.13 Median $74.13 Typical High $588.84 | Professional | 52 · Reduced service | $74.13 | $74.13 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $234.42 | Professional | 53 · Discontinued | $29.51 | $29.51 | $234.42 |
Where Wisconsin sits
The same service costs 4.9 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
$245
TX $309AL $63.10
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.