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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $1,995.26 | Professional | None | $213.80 | $213.80 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $457.09 Typical High $489.78 | Facility | None | $380.19 | $457.09 | $489.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $380.19 Typical High $1,288.25 | Professional | None | $87.10 | $380.19 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $524.81 Typical High $676.08 | Facility | None | $446.68 | $524.81 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $489.78 Typical High $549.54 | Professional | None | $85.11 | $489.78 | $549.54 |
DeanCare Setting Facility Modifier None Typical Low $213.80 Median $1,122.02 Typical High $1,513.56 | Facility | None | $213.80 | $1,122.02 | $1,513.56 |
DeanCare Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,174.90 | Professional | None | $1,071.52 | $1,071.52 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $213.80 Typical High $389.05 | Facility | None | $138.04 | $213.80 | $389.05 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $245.47 Typical High $891.25 | Professional | None | $107.15 | $245.47 | $891.25 |
Network Health Setting Facility Modifier None Typical Low $213.80 Median $275.42 Typical High $275.42 | Facility | None | $213.80 | $275.42 | $275.42 |
Network Health Setting Professional Modifier None Typical Low $177.83 Median $302.00 Typical High $501.19 | Professional | None | $177.83 | $302.00 | $501.19 |
Prevea360 Setting Facility Modifier None Typical Low $138.04 Median $213.80 Typical High $389.05 | Facility | None | $138.04 | $213.80 | $389.05 |
Quartz Setting Professional Modifier None Typical Low $194.98 Median $446.68 Typical High $616.60 | Professional | None | $194.98 | $446.68 | $616.60 |
Quartz Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $457.09 | Professional | None | $85.11 | $109.65 | $457.09 |
Security Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $380.19 | Professional | None | $181.97 | $181.97 | $380.19 |
Security Health Setting Professional Modifier None Typical Low $181.97 Median $977.24 Typical High $1,230.27 | Professional | None | $181.97 | $977.24 | $1,230.27 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
United Setting Professional Modifier None Typical Low $79.43 Median $144.54 Typical High $676.08 | Professional | None | $79.43 | $144.54 | $676.08 |
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 $107.15 Median $107.15 Typical High $1,000.00 | Professional | 52 · Reduced service | $107.15 | $107.15 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $398.11 | Professional | 53 · Discontinued | $42.66 | $42.66 | $398.11 |
Where Wisconsin sits
The same service costs 3.4 times more in Alaska than in Delaware. 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· 2nd of 51
$363
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.