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 $6,918.31 Median $12,022.64 Typical High $12,022.64 | Professional | None | $6,918.31 | $12,022.64 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $4,570.88 Typical High $16,218.10 | Professional | None | $851.14 | $4,570.88 | $16,218.10 |
Cigna Setting Facility Modifier None Typical Low $6,760.83 Median $7,943.28 Typical High $10,471.29 | Facility | None | $6,760.83 | $7,943.28 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $7,413.10 Typical High $8,511.38 | Professional | None | $1,288.25 | $7,413.10 | $8,511.38 |
DeanCare Setting Facility Modifier None Typical Low $3,467.37 Median $12,882.50 Typical High $16,982.44 | Facility | None | $3,467.37 | $12,882.50 | $16,982.44 |
DeanCare Setting Professional Modifier None Typical Low $16,218.10 Median $16,218.10 Typical High $18,197.01 | Professional | None | $16,218.10 | $16,218.10 | $18,197.01 |
Medica Setting Facility Modifier None Typical Low $2,691.53 Median $3,235.94 Typical High $5,370.32 | Facility | None | $2,691.53 | $3,235.94 | $5,370.32 |
Medica Setting Professional Modifier None Typical Low $1,584.89 Median $3,235.94 Typical High $13,489.63 | Professional | None | $1,584.89 | $3,235.94 | $13,489.63 |
Network Health Setting Facility Modifier None Typical Low $2,951.21 Median $3,235.94 Typical High $7,762.47 | Facility | None | $2,951.21 | $3,235.94 | $7,762.47 |
Network Health Setting Professional Modifier None Typical Low $2,691.53 Median $4,570.88 Typical High $7,585.78 | Professional | None | $2,691.53 | $4,570.88 | $7,585.78 |
Prevea360 Setting Facility Modifier None Typical Low $2,691.53 Median $3,235.94 Typical High $5,370.32 | Facility | None | $2,691.53 | $3,235.94 | $5,370.32 |
Quartz Setting Professional Modifier None Typical Low $3,019.95 Median $6,309.57 Typical High $8,128.31 | Professional | None | $3,019.95 | $6,309.57 | $8,128.31 |
Quartz Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $7,079.46 | Professional | None | $1,230.27 | $1,288.25 | $7,079.46 |
Security Health Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | None | $5,754.40 | $5,754.40 | $5,754.40 |
Security Health Setting Professional Modifier None Typical Low $14,791.08 Median $15,135.61 Typical High $20,417.38 | Professional | None | $14,791.08 | $15,135.61 | $20,417.38 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $8,317.64 | Professional | None | $1,148.15 | $1,905.46 | $8,317.64 |
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 $3,467.37 Median $5,888.44 Typical High $6,025.60 | Professional | 52 · Reduced service | $3,467.37 | $5,888.44 | $6,025.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,380.38 Median $2,398.83 Typical High $2,398.83 | Professional | 53 · Discontinued | $1,380.38 | $2,398.83 | $2,398.83 |
Where Wisconsin sits
The same service costs 17.4 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
$5,495
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.