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 $6,165.95 Median $10,715.19 Typical High $10,715.19 | Professional | None | $6,165.95 | $10,715.19 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $3,890.45 Typical High $14,125.38 | Professional | None | $426.58 | $3,890.45 | $14,125.38 |
Cigna Setting Facility Modifier None Typical Low $5,888.44 Median $6,918.31 Typical High $8,912.51 | Facility | None | $5,888.44 | $6,918.31 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $6,456.54 Typical High $7,244.36 | Professional | None | $1,122.02 | $6,456.54 | $7,244.36 |
DeanCare Setting Facility Modifier None Typical Low $3,019.95 Median $10,964.78 Typical High $14,791.08 | Facility | None | $3,019.95 | $10,964.78 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $14,125.38 Median $14,125.38 Typical High $15,488.17 | Professional | None | $14,125.38 | $14,125.38 | $15,488.17 |
Medica Setting Facility Modifier None Typical Low $2,344.23 Median $2,818.38 Typical High $4,677.35 | Facility | None | $2,344.23 | $2,818.38 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,818.38 Typical High $11,748.98 | Professional | None | $1,348.96 | $2,818.38 | $11,748.98 |
Network Health Setting Facility Modifier None Typical Low $2,511.89 Median $2,818.38 Typical High $6,760.83 | Facility | None | $2,511.89 | $2,818.38 | $6,760.83 |
Network Health Setting Professional Modifier None Typical Low $2,344.23 Median $3,981.07 Typical High $6,606.93 | Professional | None | $2,344.23 | $3,981.07 | $6,606.93 |
Prevea360 Setting Facility Modifier None Typical Low $2,344.23 Median $2,818.38 Typical High $4,677.35 | Facility | None | $2,344.23 | $2,818.38 | $4,677.35 |
Quartz Setting Professional Modifier None Typical Low $2,570.40 Median $5,370.32 Typical High $7,079.46 | Professional | None | $2,570.40 | $5,370.32 | $7,079.46 |
Quartz Setting Professional Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $6,025.60 | Professional | None | $1,071.52 | $1,122.02 | $6,025.60 |
Security Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Security Health Setting Professional Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $17,782.79 | Professional | None | $12,882.50 | $12,882.50 | $17,782.79 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,621.81 Typical High $7,244.36 | Professional | None | $977.24 | $1,621.81 | $7,244.36 |
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 $3,090.30 Median $5,370.32 Typical High $5,370.32 | Professional | 52 · Reduced service | $3,090.30 | $5,370.32 | $5,370.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,258.93 Median $2,137.96 Typical High $2,137.96 | Professional | 53 · Discontinued | $1,258.93 | $2,137.96 | $2,137.96 |
Where Wisconsin sits
The same service costs 67.6 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
$4,786
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.