How much rates vary
Facilitymedian $776 · 10th to 90th $363 to $1,549Professionalmedian $501 · 10th to 90th $151 to $1,622
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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $2,041.74 | Professional | None | $363.08 | $363.08 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $776.25 Typical High $831.76 | Facility | None | $645.65 | $776.25 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $645.65 Typical High $1,659.59 | Professional | None | $120.23 | $645.65 | $1,659.59 |
CareSource Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $331.13 | Professional | None | $302.00 | $302.00 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $1,148.15 | Facility | None | $758.58 | $891.25 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $831.76 Typical High $933.25 | Professional | None | $144.54 | $831.76 | $933.25 |
DeanCare Setting Facility Modifier None Typical Low $363.08 Median $1,412.54 Typical High $1,905.46 | Facility | None | $363.08 | $1,412.54 | $1,905.46 |
DeanCare Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,995.26 | Professional | None | $1,819.70 | $1,819.70 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $363.08 Typical High $588.84 | Facility | None | $234.42 | $363.08 | $588.84 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $363.08 Typical High $1,513.56 | Professional | None | $173.78 | $363.08 | $1,513.56 |
Network Health Setting Facility Modifier None Typical Low $323.59 Median $363.08 Typical High $870.96 | Facility | None | $323.59 | $363.08 | $870.96 |
Network Health Setting Professional Modifier None Typical Low $302.00 Median $512.86 Typical High $851.14 | Professional | None | $302.00 | $512.86 | $851.14 |
Prevea360 Setting Facility Modifier None Typical Low $234.42 Median $363.08 Typical High $602.56 | Facility | None | $234.42 | $363.08 | $602.56 |
Quartz Setting Professional Modifier None Typical Low $331.13 Median $707.95 Typical High $1,000.00 | Professional | None | $331.13 | $707.95 | $1,000.00 |
Quartz Setting Professional Modifier None Typical Low $144.54 Median $151.36 Typical High $776.25 | Professional | None | $144.54 | $151.36 | $776.25 |
Security Health Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $645.65 | Professional | None | $302.00 | $302.00 | $645.65 |
Security Health Setting Professional Modifier None Typical Low $302.00 Median $1,659.59 Typical High $2,089.30 | Professional | None | $302.00 | $1,659.59 | $2,089.30 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
United Setting Professional Modifier None Typical Low $125.89 Median $208.93 Typical High $933.25 | Professional | None | $125.89 | $208.93 | $933.25 |
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 $181.97 Median $181.97 Typical High $1,023.29 | Professional | 52 · Reduced service | $181.97 | $181.97 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $416.87 | Professional | 53 · Discontinued | $72.44 | $72.44 | $416.87 |
Where Wisconsin sits
The same service costs 3.9 times more in Alaska 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· 4th of 51
$537
AK $676AL $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.