How much rates vary
Facilitymedian $501 · 10th to 90th $224 to $955Professionalmedian $324 · 10th to 90th $93 to $1,000
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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $1,584.89 | Professional | None | $223.87 | $223.87 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $478.63 Typical High $512.86 | Facility | None | $398.11 | $478.63 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $398.11 Typical High $1,023.29 | Professional | None | $74.13 | $398.11 | $1,023.29 |
CareSource Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $204.17 | Professional | None | $186.21 | $186.21 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $549.54 Typical High $707.95 | Facility | None | $467.74 | $549.54 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $512.86 Typical High $575.44 | Professional | None | $89.13 | $512.86 | $575.44 |
DeanCare Setting Facility Modifier None Typical Low $223.87 Median $870.96 Typical High $1,174.90 | Facility | None | $223.87 | $870.96 | $1,174.90 |
DeanCare Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,230.27 | Professional | None | $1,122.02 | $1,122.02 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $223.87 Typical High $371.54 | Facility | None | $141.25 | $223.87 | $371.54 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $223.87 Typical High $933.25 | Professional | None | $107.15 | $223.87 | $933.25 |
Network Health Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $524.81 | Facility | None | $199.53 | $223.87 | $524.81 |
Network Health Setting Professional Modifier None Typical Low $186.21 Median $316.23 Typical High $524.81 | Professional | None | $186.21 | $316.23 | $524.81 |
Prevea360 Setting Facility Modifier None Typical Low $141.25 Median $223.87 Typical High $371.54 | Facility | None | $141.25 | $223.87 | $371.54 |
Quartz Setting Professional Modifier None Typical Low $204.17 Median $436.52 Typical High $616.60 | Professional | None | $204.17 | $436.52 | $616.60 |
Quartz Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $478.63 | Professional | None | $89.13 | $93.33 | $478.63 |
Security Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $398.11 | Professional | None | $186.21 | $186.21 | $398.11 |
Security Health Setting Professional Modifier None Typical Low $186.21 Median $1,000.00 Typical High $1,288.25 | Professional | None | $186.21 | $1,000.00 | $1,288.25 |
The Alliance Setting Professional Modifier None Typical Low $331.13 Median $794.33 Typical High $1,202.26 | Professional | None | $331.13 | $794.33 | $1,202.26 |
United Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $77.62 Median $128.82 Typical High $575.44 | Professional | None | $77.62 | $128.82 | $575.44 |
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 $112.20 Median $112.20 Typical High $954.99 | Professional | 52 · Reduced service | $112.20 | $112.20 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $380.19 | Professional | 53 · Discontinued | $44.67 | $44.67 | $380.19 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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
$355
AK $417KY $112
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.