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 $10,471.29 Typical High $10,715.19 | Professional | None | $6,165.95 | $10,471.29 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,513.56 Typical High $5,495.41 | Professional | None | $851.14 | $1,513.56 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $3,548.13 | Facility | None | $2,290.87 | $2,691.53 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $2,511.89 Typical High $2,884.03 | Professional | None | $436.52 | $2,511.89 | $2,884.03 |
DeanCare Setting Facility Modifier None Typical Low $1,174.90 Median $4,265.80 Typical High $5,754.40 | Facility | None | $1,174.90 | $4,265.80 | $5,754.40 |
DeanCare Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $6,025.60 | Professional | None | $5,495.41 | $5,495.41 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,819.70 | Facility | None | $912.01 | $1,096.48 | $1,819.70 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $1,096.48 Typical High $4,570.88 | Professional | None | $524.81 | $1,096.48 | $4,570.88 |
Network Health Setting Facility Modifier None Typical Low $977.24 Median $1,096.48 Typical High $2,630.27 | Facility | None | $977.24 | $1,096.48 | $2,630.27 |
Network Health Setting Professional Modifier None Typical Low $912.01 Median $1,548.82 Typical High $2,570.40 | Professional | None | $912.01 | $1,548.82 | $2,570.40 |
Prevea360 Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,819.70 | Facility | None | $912.01 | $1,096.48 | $1,819.70 |
Quartz Setting Professional Modifier None Typical Low $1,023.29 Median $2,137.96 Typical High $2,754.23 | Professional | None | $1,023.29 | $2,137.96 | $2,754.23 |
Quartz Setting Professional Modifier None Typical Low $416.87 Median $436.52 Typical High $2,398.83 | Professional | None | $416.87 | $436.52 | $2,398.83 |
Security Health Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Security Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $6,918.31 | Professional | None | $5,011.87 | $5,011.87 | $6,918.31 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
United Setting Professional Modifier None Typical Low $380.19 Median $645.65 Typical High $2,818.38 | Professional | None | $380.19 | $645.65 | $2,818.38 |
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 $5,248.07 Typical High $5,248.07 | Professional | 52 · Reduced service | $3,090.30 | $5,248.07 | $5,248.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,230.27 Median $2,089.30 Typical High $2,137.96 | Professional | 53 · Discontinued | $1,230.27 | $2,089.30 | $2,137.96 |
Where Wisconsin sits
The same service costs 12.0 times more in Texas than in New Mexico. 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
$1,862
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.