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 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 $6,606.93 | Professional | None | $1,548.82 | $1,548.82 | $6,606.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $3,311.31 Typical High $3,548.13 | Facility | None | $2,754.23 | $3,311.31 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $2,187.76 Typical High $6,456.54 | Professional | None | $512.86 | $2,187.76 | $6,456.54 |
CareSource Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
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 $616.60 Median $3,311.31 Typical High $3,981.07 | Professional | None | $616.60 | $3,311.31 | $3,981.07 |
DeanCare Setting Facility Modifier None Typical Low $776.25 Median $4,677.35 Typical High $7,244.36 | Facility | None | $776.25 | $4,677.35 | $7,244.36 |
DeanCare Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $8,511.38 | Professional | None | $7,762.47 | $7,762.47 | $8,511.38 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $1,548.82 Typical High $6,165.95 | Facility | None | $776.25 | $1,548.82 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $1,479.11 Typical High $6,456.54 | Professional | None | $741.31 | $1,479.11 | $6,456.54 |
Network Health Setting Facility Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $3,715.35 | Facility | None | $1,380.38 | $1,548.82 | $3,715.35 |
Network Health Setting Professional Modifier None Typical Low $954.99 Median $2,041.74 Typical High $3,630.78 | Professional | None | $954.99 | $2,041.74 | $3,630.78 |
Prevea360 Setting Facility Modifier None Typical Low $776.25 Median $1,230.27 Typical High $1,659.59 | Facility | None | $776.25 | $1,230.27 | $1,659.59 |
Quartz Setting Professional Modifier None Typical Low $1,412.54 Median $3,019.95 Typical High $4,265.80 | Professional | None | $1,412.54 | $3,019.95 | $4,265.80 |
Quartz Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Quartz Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $3,311.31 | Professional | None | $616.60 | $676.08 | $3,311.31 |
Security Health Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
Security Health Setting Professional Modifier None Typical Low $3,715.35 Median $7,079.46 Typical High $9,772.37 | Professional | None | $3,715.35 | $7,079.46 | $9,772.37 |
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 $562.34 Median $776.25 Typical High $3,981.07 | Professional | None | $562.34 | $776.25 | $3,981.07 |
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 $3,311.31 | Professional | 52 · Reduced service | $776.25 | $776.25 | $3,311.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $1,348.96 | Professional | 53 · Discontinued | $309.03 | $309.03 | $1,348.96 |
Where Wisconsin sits
The same service costs 4.9 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
$1,995
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.