How much rates vary
Facilitymedian $1,622 · 10th to 90th $813 to $6,457Professionalmedian $2,138 · 10th to 90th $646 to $6,761
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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $8,511.38 | Professional | None | $1,621.81 | $1,621.81 | $8,511.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $3,548.13 Typical High $3,715.35 | Facility | None | $2,884.03 | $3,548.13 | $3,715.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $2,290.87 Typical High $6,760.83 | Professional | None | $537.03 | $2,290.87 | $6,760.83 |
CareSource Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,981.07 Typical High $5,248.07 | Facility | None | $3,388.44 | $3,981.07 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $3,548.13 Typical High $4,168.69 | Professional | None | $645.65 | $3,548.13 | $4,168.69 |
DeanCare Setting Facility Modifier None Typical Low $812.83 Median $4,897.79 Typical High $7,585.78 | Facility | None | $812.83 | $4,897.79 | $7,585.78 |
DeanCare Setting Professional Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,912.51 | Professional | None | $8,128.31 | $8,128.31 | $8,912.51 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $1,258.93 Typical High $6,456.54 | Facility | None | $812.83 | $1,258.93 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,548.82 Typical High $6,760.83 | Professional | None | $776.25 | $1,548.82 | $6,760.83 |
Network Health Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $3,890.45 | Facility | None | $1,445.44 | $1,621.81 | $3,890.45 |
Network Health Setting Professional Modifier None Typical Low $1,023.29 Median $2,137.96 Typical High $3,801.89 | Professional | None | $1,023.29 | $2,137.96 | $3,801.89 |
Prevea360 Setting Facility Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,737.80 | Facility | None | $812.83 | $1,096.48 | $1,737.80 |
Quartz Setting Professional Modifier None Typical Low $1,513.56 Median $3,162.28 Typical High $4,466.84 | Professional | None | $1,513.56 | $3,162.28 | $4,466.84 |
Quartz Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Quartz Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $3,548.13 | Professional | None | $645.65 | $707.95 | $3,548.13 |
Security Health Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Security Health Setting Professional Modifier None Typical Low $3,890.45 Median $7,413.10 Typical High $10,232.93 | Professional | None | $3,890.45 | $7,413.10 | $10,232.93 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $4,168.69 | Professional | None | $588.84 | $812.83 | $4,168.69 |
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 $812.83 Median $812.83 Typical High $4,265.80 | Professional | 52 · Reduced service | $812.83 | $812.83 | $4,265.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $1,698.24 | Professional | 53 · Discontinued | $323.59 | $323.59 | $1,698.24 |
Where Wisconsin sits
The same service costs 5.1 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· 3rd of 51
$2,089
AK $3,020AL $589
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.