How much rates vary
Facilitymedian $5,754 · 10th to 90th $2,512 to $22,909Professionalmedian $6,918 · 10th to 90th $2,291 to $26,303
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 $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $38,018.94 | Professional | None | $5,754.40 | $5,754.40 | $38,018.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,232.93 Median $12,302.69 Typical High $13,182.57 | Facility | None | $10,232.93 | $12,302.69 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $8,128.31 Typical High $23,988.33 | Professional | None | $1,905.46 | $8,128.31 | $23,988.33 |
CareSource Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $12,022.64 Median $14,125.38 Typical High $18,620.87 | Facility | None | $12,022.64 | $14,125.38 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $12,302.69 Typical High $14,791.08 | Professional | None | $2,290.87 | $12,302.69 | $14,791.08 |
DeanCare Setting Facility Modifier None Typical Low $2,511.89 Median $17,378.01 Typical High $26,915.35 | Facility | None | $2,511.89 | $17,378.01 | $26,915.35 |
DeanCare Setting Professional Modifier None Typical Low $28,840.32 Median $28,840.32 Typical High $31,622.78 | Professional | None | $28,840.32 | $28,840.32 | $31,622.78 |
Medica Setting Facility Modifier None Typical Low $2,511.89 Median $4,466.84 Typical High $22,908.68 | Facility | None | $2,511.89 | $4,466.84 | $22,908.68 |
Medica Setting Professional Modifier None Typical Low $2,754.23 Median $5,128.61 Typical High $23,988.33 | Professional | None | $2,754.23 | $5,128.61 | $23,988.33 |
Network Health Setting Facility Modifier None Typical Low $5,128.61 Median $5,754.40 Typical High $13,803.84 | Facility | None | $5,128.61 | $5,754.40 | $13,803.84 |
Network Health Setting Professional Modifier None Typical Low $3,548.13 Median $7,585.78 Typical High $13,489.63 | Professional | None | $3,548.13 | $7,585.78 | $13,489.63 |
Prevea360 Setting Facility Modifier None Typical Low $2,511.89 Median $3,890.45 Typical High $6,165.95 | Facility | None | $2,511.89 | $3,890.45 | $6,165.95 |
Quartz Setting Professional Modifier None Typical Low $5,248.07 Median $11,220.18 Typical High $15,848.93 | Professional | None | $5,248.07 | $11,220.18 | $15,848.93 |
Quartz Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Quartz Setting Professional Modifier None Typical Low $2,290.87 Median $2,511.89 Typical High $12,302.69 | Professional | None | $2,290.87 | $2,511.89 | $12,302.69 |
Security Health Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $10,232.93 | Professional | None | $4,786.30 | $4,786.30 | $10,232.93 |
Security Health Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $33,113.11 | Professional | None | $4,786.30 | $4,786.30 | $33,113.11 |
The Alliance Setting Professional Modifier None Typical Low $30,902.95 Median $30,902.95 Typical High $36,307.81 | Professional | None | $30,902.95 | $30,902.95 | $36,307.81 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $14,791.08 | Professional | None | $2,089.30 | $2,884.03 | $14,791.08 |
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 $2,884.03 Median $2,884.03 Typical High $19,054.61 | Professional | 52 · Reduced service | $2,884.03 | $2,884.03 | $19,054.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,148.15 Median $1,148.15 Typical High $7,585.78 | Professional | 53 · Discontinued | $1,148.15 | $1,148.15 | $7,585.78 |
Where Wisconsin sits
The same service costs 10.7 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· 4th of 51
$6,918
AK $10,715KY $1,000
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.