How much rates vary
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 Professional Modifier None Typical Low $13,182.57 Median $22,387.21 Typical High $22,908.68 | Professional | None | $13,182.57 | $22,387.21 | $22,908.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $8,511.38 Typical High $30,199.52 | Professional | None | $851.14 | $8,511.38 | $30,199.52 |
Cigna Setting Facility Modifier None Typical Low $12,589.25 Median $14,791.08 Typical High $19,498.45 | Facility | None | $12,589.25 | $14,791.08 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $13,803.84 Typical High $15,848.93 | Professional | None | $2,398.83 | $13,803.84 | $15,848.93 |
DeanCare Setting Facility Modifier None Typical Low $6,456.54 Median $23,442.29 Typical High $31,622.78 | Facility | None | $6,456.54 | $23,442.29 | $31,622.78 |
DeanCare Setting Professional Modifier None Typical Low $30,199.52 Median $30,199.52 Typical High $33,113.11 | Professional | None | $30,199.52 | $30,199.52 | $33,113.11 |
Medica Setting Facility Modifier None Typical Low $5,011.87 Median $6,025.60 Typical High $10,000.00 | Facility | None | $5,011.87 | $6,025.60 | $10,000.00 |
Medica Setting Professional Modifier None Typical Low $2,951.21 Median $6,025.60 Typical High $25,118.86 | Professional | None | $2,951.21 | $6,025.60 | $25,118.86 |
Network Health Setting Facility Modifier None Typical Low $5,495.41 Median $6,025.60 Typical High $14,454.40 | Facility | None | $5,495.41 | $6,025.60 | $14,454.40 |
Network Health Setting Professional Modifier None Typical Low $5,011.87 Median $8,511.38 Typical High $14,125.38 | Professional | None | $5,011.87 | $8,511.38 | $14,125.38 |
Prevea360 Setting Facility Modifier None Typical Low $5,011.87 Median $6,025.60 Typical High $10,000.00 | Facility | None | $5,011.87 | $6,025.60 | $10,000.00 |
Quartz Setting Professional Modifier None Typical Low $5,623.41 Median $11,748.98 Typical High $15,135.61 | Professional | None | $5,623.41 | $11,748.98 | $15,135.61 |
Quartz Setting Professional Modifier None Typical Low $2,290.87 Median $2,398.83 Typical High $13,182.57 | Professional | None | $2,290.87 | $2,398.83 | $13,182.57 |
Security Health Setting Professional Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Professional | None | $10,715.19 | $10,715.19 | $10,715.19 |
Security Health Setting Professional Modifier None Typical Low $27,542.29 Median $27,542.29 Typical High $38,018.94 | Professional | None | $27,542.29 | $27,542.29 | $38,018.94 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Facility | None | $6,025.60 | $6,025.60 | $6,025.60 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $15,488.17 | Professional | None | $2,089.30 | $3,548.13 | $15,488.17 |
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 $6,606.93 Median $11,220.18 Typical High $11,481.54 | Professional | 52 · Reduced service | $6,606.93 | $11,220.18 | $11,481.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2,630.27 Median $4,466.84 Typical High $4,570.88 | Professional | 53 · Discontinued | $2,630.27 | $4,466.84 | $4,570.88 |
Where Wisconsin sits
The same service costs 30.9 times more in Texas 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
$10,233
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.