How much rates vary
Facilitymedian $1,549 · 10th to 90th $372 to $4,266Professionalmedian $1,549 · 10th to 90th $355 to $4,266
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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $8,709.64 | Professional | None | $1,548.82 | $1,548.82 | $8,709.64 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $3,388.44 Typical High $3,548.13 | Facility | None | $2,818.38 | $3,388.44 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $1,318.26 Typical High $4,265.80 | Professional | None | $288.40 | $1,318.26 | $4,265.80 |
CareSource Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $3,801.89 Typical High $5,011.87 | Facility | None | $3,235.94 | $3,801.89 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,621.81 Typical High $1,862.09 | Professional | None | $630.96 | $1,621.81 | $1,862.09 |
DeanCare Setting Facility Modifier None Typical Low $371.54 Median $2,884.03 Typical High $4,466.84 | Facility | None | $371.54 | $2,884.03 | $4,466.84 |
DeanCare Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $8,709.64 | Professional | None | $7,762.47 | $7,762.47 | $8,709.64 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $588.84 Typical High $6,165.95 | Facility | None | $371.54 | $588.84 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $831.76 Typical High $6,456.54 | Professional | None | $354.81 | $831.76 | $6,456.54 |
Network Health Setting Facility Modifier None Typical Low $707.95 Median $912.01 Typical High $912.01 | Facility | None | $707.95 | $912.01 | $912.01 |
Network Health Setting Professional Modifier None Typical Low $977.24 Median $1,548.82 Typical High $2,238.72 | Professional | None | $977.24 | $1,548.82 | $2,238.72 |
Prevea360 Setting Facility Modifier None Typical Low $371.54 Median $501.19 Typical High $1,548.82 | Facility | None | $371.54 | $501.19 | $1,548.82 |
Quartz Setting Professional Modifier None Typical Low $1,445.44 Median $2,454.71 Typical High $3,801.89 | Professional | None | $1,445.44 | $2,454.71 | $3,801.89 |
Quartz Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Quartz Setting Professional Modifier None Typical Low $309.03 Median $630.96 Typical High $1,513.56 | Professional | None | $309.03 | $630.96 | $1,513.56 |
Security Health Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,258.93 | Professional | None | $602.56 | $602.56 | $1,258.93 |
Security Health Setting Professional Modifier None Typical Low $602.56 Median $2,951.21 Typical High $4,073.80 | Professional | None | $602.56 | $2,951.21 | $4,073.80 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
United Setting Professional Modifier None Typical Low $302.00 Median $676.08 Typical High $2,238.72 | Professional | None | $302.00 | $676.08 | $2,238.72 |
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 $776.25 Median $776.25 Typical High $4,365.16 | Professional | 52 · Reduced service | $776.25 | $776.25 | $4,365.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $1,737.80 | Professional | 53 · Discontinued | $316.23 | $316.23 | $1,737.80 |
Where Wisconsin sits
The same service costs 4.0 times more in Wisconsin than in Georgia. 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· 1st of 51
$1,549
WI $1,549GA $389
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.