How much rates vary
Facilitymedian $2,951 · 10th to 90th $525 to $7,244Professionalmedian $3,090 · 10th to 90th $977 to $12,023
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 $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $13,489.63 | Professional | None | $2,951.21 | $2,951.21 | $13,489.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $6,309.57 Typical High $6,760.83 | Facility | None | $5,248.07 | $6,309.57 | $6,760.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $3,162.28 Typical High $10,471.29 | Professional | None | $977.24 | $3,162.28 | $10,471.29 |
CareSource Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $6,165.95 Median $7,244.36 Typical High $9,332.54 | Facility | None | $6,165.95 | $7,244.36 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $6,309.57 Typical High $7,585.78 | Professional | None | $1,174.90 | $6,309.57 | $7,585.78 |
DeanCare Setting Facility Modifier None Typical Low $524.81 Median $2,818.38 Typical High $3,801.89 | Facility | None | $524.81 | $2,818.38 | $3,801.89 |
DeanCare Setting Professional Modifier None Typical Low $14,791.08 Median $14,791.08 Typical High $16,218.10 | Professional | None | $14,791.08 | $14,791.08 | $16,218.10 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $2,290.87 Typical High $11,748.98 | Facility | None | $524.81 | $2,290.87 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $2,454.71 Typical High $12,302.69 | Professional | None | $363.08 | $2,454.71 | $12,302.69 |
Network Health Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $3,801.89 | Facility | None | $676.08 | $676.08 | $3,801.89 |
Network Health Setting Professional Modifier None Typical Low $851.14 Median $3,715.35 Typical High $6,918.31 | Professional | None | $851.14 | $3,715.35 | $6,918.31 |
Prevea360 Setting Facility Modifier None Typical Low $524.81 Median $1,995.26 Typical High $3,162.28 | Facility | None | $524.81 | $1,995.26 | $3,162.28 |
Quartz Setting Professional Modifier None Typical Low $2,691.53 Median $5,623.41 Typical High $8,128.31 | Professional | None | $2,691.53 | $5,623.41 | $8,128.31 |
Quartz Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $6,309.57 | Professional | None | $1,122.02 | $1,230.27 | $6,309.57 |
Security Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $5,248.07 | Professional | None | $446.68 | $446.68 | $5,248.07 |
Security Health Setting Professional Modifier None Typical Low $446.68 Median $7,079.46 Typical High $16,982.44 | Professional | None | $446.68 | $7,079.46 | $16,982.44 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
United Setting Professional Modifier None Typical Low $363.08 Median $1,479.11 Typical High $7,585.78 | Professional | None | $363.08 | $1,479.11 | $7,585.78 |
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 $1,479.11 Median $1,479.11 Typical High $6,760.83 | Professional | 52 · Reduced service | $1,479.11 | $1,479.11 | $6,760.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $2,691.53 | Professional | 53 · Discontinued | $588.84 | $588.84 | $2,691.53 |
Where Wisconsin sits
The same service costs 6.8 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· 5th of 51
$2,951
AK $5,495KY $813
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.