How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,862 to $13,804Professionalmedian $4,266 · 10th to 90th $1,413 to $15,849
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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $21,379.62 | Professional | None | $3,467.37 | $3,467.37 | $21,379.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $7,585.78 Typical High $7,943.28 | Facility | None | $6,309.57 | $7,585.78 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $4,897.79 Typical High $14,791.08 | Professional | None | $1,174.90 | $4,897.79 | $14,791.08 |
CareSource Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
CareSource Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,235.94 | Professional | None | $2,951.21 | $2,951.21 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $8,511.38 Typical High $11,220.18 | Facility | None | $7,244.36 | $8,511.38 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $7,585.78 Typical High $9,120.11 | Professional | None | $1,412.54 | $7,585.78 | $9,120.11 |
DeanCare Setting Facility Modifier None Typical Low $1,862.09 Median $10,715.19 Typical High $16,595.87 | Facility | None | $1,862.09 | $10,715.19 | $16,595.87 |
DeanCare Setting Professional Modifier None Typical Low $17,378.01 Median $17,378.01 Typical High $19,498.45 | Professional | None | $17,378.01 | $17,378.01 | $19,498.45 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $2,754.23 Typical High $13,803.84 | Facility | None | $1,862.09 | $2,754.23 | $13,803.84 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $3,388.44 Typical High $14,454.40 | Professional | None | $1,698.24 | $3,388.44 | $14,454.40 |
Network Health Setting Facility Modifier None Typical Low $3,162.28 Median $3,467.37 Typical High $8,317.64 | Facility | None | $3,162.28 | $3,467.37 | $8,317.64 |
Network Health Setting Professional Modifier None Typical Low $2,187.76 Median $4,677.35 Typical High $8,317.64 | Professional | None | $2,187.76 | $4,677.35 | $8,317.64 |
Prevea360 Setting Facility Modifier None Typical Low $1,862.09 Median $2,398.83 Typical High $3,715.35 | Facility | None | $1,862.09 | $2,398.83 | $3,715.35 |
Quartz Setting Professional Modifier None Typical Low $3,235.94 Median $6,760.83 Typical High $9,549.93 | Professional | None | $3,235.94 | $6,760.83 | $9,549.93 |
Quartz Setting Professional Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $7,585.78 | Professional | None | $1,412.54 | $1,548.82 | $7,585.78 |
Security Health Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $6,165.95 | Professional | None | $2,951.21 | $2,951.21 | $6,165.95 |
Security Health Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $20,417.38 | Professional | None | $2,951.21 | $2,951.21 | $20,417.38 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $8,912.51 | Professional | None | $1,258.93 | $1,737.80 | $8,912.51 |
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 $1,737.80 Median $1,737.80 Typical High $10,471.29 | Professional | 52 · Reduced service | $1,737.80 | $1,737.80 | $10,471.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $707.95 Typical High $4,265.80 | Professional | 53 · Discontinued | $707.95 | $707.95 | $4,265.80 |
Where Wisconsin sits
The same service costs 5.4 times more in Alaska 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
$4,266
AK $6,607AL $1,230
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.