How much rates vary
Facilitymedian $871 · 10th to 90th $417 to $2,399Professionalmedian $603 · 10th to 90th $200 to $2,399
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $7,413.10 | Professional | None | $416.87 | $416.87 | $7,413.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $891.25 Typical High $954.99 | Facility | None | $741.31 | $891.25 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $741.31 Typical High $2,511.89 | Professional | None | $169.82 | $741.31 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,318.26 | Facility | None | $870.96 | $1,023.29 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $954.99 Typical High $1,071.52 | Professional | None | $165.96 | $954.99 | $1,071.52 |
DeanCare Setting Facility Modifier None Typical Low $416.87 Median $2,187.76 Typical High $2,951.21 | Facility | None | $416.87 | $2,187.76 | $2,951.21 |
DeanCare Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,290.87 | Professional | None | $2,089.30 | $2,089.30 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $416.87 Typical High $758.58 | Facility | None | $269.15 | $416.87 | $758.58 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $478.63 Typical High $1,737.80 | Professional | None | $208.93 | $478.63 | $1,737.80 |
Network Health Setting Facility Modifier None Typical Low $416.87 Median $537.03 Typical High $537.03 | Facility | None | $416.87 | $537.03 | $537.03 |
Network Health Setting Professional Modifier None Typical Low $346.74 Median $588.84 Typical High $977.24 | Professional | None | $346.74 | $588.84 | $977.24 |
Prevea360 Setting Facility Modifier None Typical Low $269.15 Median $416.87 Typical High $758.58 | Facility | None | $269.15 | $416.87 | $758.58 |
Quartz Setting Professional Modifier None Typical Low $380.19 Median $870.96 Typical High $1,202.26 | Professional | None | $380.19 | $870.96 | $1,202.26 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $891.25 | Professional | None | $165.96 | $213.80 | $891.25 |
Security Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $741.31 | Professional | None | $354.81 | $354.81 | $741.31 |
Security Health Setting Professional Modifier None Typical Low $354.81 Median $1,380.38 Typical High $2,398.83 | Professional | None | $354.81 | $1,380.38 | $2,398.83 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $154.88 Median $281.84 Typical High $1,318.26 | Professional | None | $154.88 | $281.84 | $1,318.26 |
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 $208.93 Median $208.93 Typical High $3,715.35 | Professional | 52 · Reduced service | $208.93 | $208.93 | $3,715.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $1,479.11 | Professional | 53 · Discontinued | $83.18 | $83.18 | $1,479.11 |
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
$708
TX $794AL $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.