How much rates vary
Facilitymedian $912 · 10th to 90th $692 to $3,715Professionalmedian $1,122 · 10th to 90th $457 to $3,981
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 $912.01 Median $912.01 Typical High $1,174.90 | Facility | None | $912.01 | $912.01 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $3,981.07 | Professional | None | $912.01 | $912.01 | $3,981.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $2,089.30 | Facility | None | $1,621.81 | $1,995.26 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $1,548.82 Typical High $4,168.69 | Professional | None | $645.65 | $1,548.82 | $4,168.69 |
CareSource Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
CareSource Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $831.76 | Professional | None | $758.58 | $758.58 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,951.21 | Facility | None | $1,905.46 | $2,238.72 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $1,995.26 Typical High $2,344.23 | Professional | None | $363.08 | $1,995.26 | $2,344.23 |
DeanCare Setting Facility Modifier None Typical Low $691.83 Median $2,951.21 Typical High $4,570.88 | Facility | None | $691.83 | $2,951.21 | $4,570.88 |
DeanCare Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $5,011.87 | Professional | None | $4,570.88 | $4,570.88 | $5,011.87 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $776.25 Typical High $3,630.78 | Facility | None | $602.56 | $776.25 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $794.33 Typical High $3,801.89 | Professional | None | $436.52 | $794.33 | $3,801.89 |
Network Health Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,174.90 | Facility | None | $912.01 | $912.01 | $1,174.90 |
Network Health Setting Professional Modifier None Typical Low $575.44 Median $1,148.15 Typical High $2,137.96 | Professional | None | $575.44 | $1,148.15 | $2,137.96 |
Prevea360 Setting Facility Modifier None Typical Low $602.56 Median $776.25 Typical High $977.24 | Facility | None | $602.56 | $776.25 | $977.24 |
Quartz Setting Professional Modifier None Typical Low $851.14 Median $1,778.28 Typical High $2,511.89 | Professional | None | $851.14 | $1,778.28 | $2,511.89 |
Quartz Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $1,995.26 | Professional | None | $363.08 | $398.11 | $1,995.26 |
Security Health Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,621.81 | Professional | None | $602.56 | $602.56 | $1,621.81 |
Security Health Setting Professional Modifier None Typical Low $602.56 Median $2,187.76 Typical High $5,011.87 | Professional | None | $602.56 | $2,187.76 | $5,011.87 |
The Alliance Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
United Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
United Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $2,344.23 | Professional | None | $338.84 | $478.63 | $2,344.23 |
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 $457.09 Median $457.09 Typical High $1,995.26 | Professional | 52 · Reduced service | $457.09 | $457.09 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $794.33 | Professional | 53 · Discontinued | $181.97 | $181.97 | $794.33 |
Where Wisconsin sits
The same service costs 3.4 times more in Alaska than in Maine. 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
$1,096
AK $1,698ME $501
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.