How much rates vary
Facilitymedian $1,479 · 10th to 90th $550 to $3,715Professionalmedian $851 · 10th to 90th $295 to $3,890
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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $7,943.28 | Professional | None | $707.95 | $707.95 | $7,943.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $1,621.81 | Facility | None | $1,258.93 | $1,513.56 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $977.24 Typical High $4,168.69 | Professional | None | $288.40 | $977.24 | $4,168.69 |
CareSource Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $2,238.72 | Facility | None | $1,479.11 | $1,698.24 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $1,513.56 Typical High $1,819.70 | Professional | None | $309.03 | $1,513.56 | $1,819.70 |
DeanCare Setting Facility Modifier None Typical Low $549.54 Median $2,951.21 Typical High $4,570.88 | Facility | None | $549.54 | $2,951.21 | $4,570.88 |
DeanCare Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,890.45 | Professional | None | $3,467.37 | $3,467.37 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $2,818.38 | Facility | None | $467.74 | $741.31 | $2,818.38 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $707.95 Typical High $2,951.21 | Professional | None | $354.81 | $707.95 | $2,951.21 |
Network Health Setting Facility Modifier None Typical Low $707.95 Median $912.01 Typical High $912.01 | Facility | None | $707.95 | $912.01 | $912.01 |
Network Health Setting Professional Modifier None Typical Low $436.52 Median $1,000.00 Typical High $1,659.59 | Professional | None | $436.52 | $1,000.00 | $1,659.59 |
Prevea360 Setting Facility Modifier None Typical Low $467.74 Median $707.95 Typical High $2,041.74 | Facility | None | $467.74 | $707.95 | $2,041.74 |
Quartz Setting Professional Modifier None Typical Low $645.65 Median $1,380.38 Typical High $2,041.74 | Professional | None | $645.65 | $1,380.38 | $2,041.74 |
Quartz Setting Professional Modifier None Typical Low $281.84 Median $363.08 Typical High $1,513.56 | Professional | None | $281.84 | $363.08 | $1,513.56 |
Security Health Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,258.93 | Professional | None | $602.56 | $602.56 | $1,258.93 |
Security Health Setting Professional Modifier None Typical Low $602.56 Median $2,951.21 Typical High $4,073.80 | Professional | None | $602.56 | $2,951.21 | $4,073.80 |
United Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
United Setting Professional Modifier None Typical Low $295.12 Median $478.63 Typical High $2,238.72 | Professional | None | $295.12 | $478.63 | $2,238.72 |
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 $354.81 Median $354.81 Typical High $3,981.07 | Professional | 52 · Reduced service | $354.81 | $354.81 | $3,981.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $1,584.89 | Professional | 53 · Discontinued | $141.25 | $141.25 | $1,584.89 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in Delaware. 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
$933
AK $1,318DE $417
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.