How much rates vary
Facilitymedian $427 · 10th to 90th $170 to $661Professionalmedian $269 · 10th to 90th $78 to $851
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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $1,230.27 | Professional | None | $204.17 | $204.17 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $363.08 Median $446.68 Typical High $467.74 | Facility | None | $363.08 | $446.68 | $467.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $354.81 Typical High $831.76 | Professional | None | $67.61 | $354.81 | $831.76 |
CareSource Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $186.21 | Professional | None | $169.82 | $169.82 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $501.19 Typical High $660.69 | Facility | None | $426.58 | $501.19 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $467.74 Typical High $524.81 | Professional | None | $81.28 | $467.74 | $524.81 |
DeanCare Setting Facility Modifier None Typical Low $204.17 Median $602.56 Typical High $812.83 | Facility | None | $204.17 | $602.56 | $812.83 |
DeanCare Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,122.02 | Professional | None | $1,023.29 | $1,023.29 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $204.17 Typical High $338.84 | Facility | None | $131.83 | $204.17 | $338.84 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $194.98 Typical High $851.14 | Professional | None | $77.62 | $194.98 | $851.14 |
Network Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $263.03 | Facility | None | $144.54 | $144.54 | $263.03 |
Network Health Setting Professional Modifier None Typical Low $169.82 Median $269.15 Typical High $478.63 | Professional | None | $169.82 | $269.15 | $478.63 |
Prevea360 Setting Facility Modifier None Typical Low $131.83 Median $204.17 Typical High $338.84 | Facility | None | $131.83 | $204.17 | $338.84 |
Quartz Setting Professional Modifier None Typical Low $190.55 Median $398.11 Typical High $562.34 | Professional | None | $190.55 | $398.11 | $562.34 |
Quartz Setting Professional Modifier None Typical Low $81.28 Median $85.11 Typical High $446.68 | Professional | None | $81.28 | $85.11 | $446.68 |
Security Health Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $363.08 | Professional | None | $97.72 | $97.72 | $363.08 |
Security Health Setting Professional Modifier None Typical Low $97.72 Median $416.87 Typical High $1,202.26 | Professional | None | $97.72 | $416.87 | $1,202.26 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
United Setting Professional Modifier None Typical Low $70.79 Median $109.65 Typical High $524.81 | Professional | None | $70.79 | $109.65 | $524.81 |
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 $102.33 Median $102.33 Typical High $616.60 | Professional | 52 · Reduced service | $102.33 | $102.33 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $251.19 | Professional | 53 · Discontinued | $40.74 | $40.74 | $251.19 |
Where Wisconsin sits
The same service costs 3.5 times more in Alaska than in North Carolina. 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
$282
AK $380NC $110
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.