How much rates vary
Facilitymedian $1,000 · 10th to 90th $501 to $3,020Professionalmedian $1,230 · 10th to 90th $355 to $4,074
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $4,073.80 | Professional | None | $1,000.00 | $1,000.00 | $4,073.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $2,290.87 | Facility | None | $1,819.70 | $2,187.76 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $1,412.54 Typical High $4,073.80 | Professional | None | $338.84 | $1,412.54 | $4,073.80 |
CareSource Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $3,235.94 | Facility | None | $2,089.30 | $2,454.71 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $2,290.87 Typical High $2,630.27 | Professional | None | $398.11 | $2,290.87 | $2,630.27 |
DeanCare Setting Facility Modifier None Typical Low $501.19 Median $2,137.96 Typical High $3,311.31 | Facility | None | $501.19 | $2,137.96 | $3,311.31 |
DeanCare Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,623.41 | Professional | None | $5,011.87 | $5,011.87 | $5,623.41 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $3,981.07 | Facility | None | $501.19 | $794.33 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $831.76 Typical High $4,168.69 | Professional | None | $354.81 | $831.76 | $4,168.69 |
Network Health Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $1,288.25 | Facility | None | $660.69 | $660.69 | $1,288.25 |
Network Health Setting Professional Modifier None Typical Low $630.96 Median $1,258.93 Typical High $2,398.83 | Professional | None | $630.96 | $1,258.93 | $2,398.83 |
Prevea360 Setting Facility Modifier None Typical Low $501.19 Median $691.83 Typical High $1,071.52 | Facility | None | $501.19 | $691.83 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $933.25 Median $1,949.84 Typical High $2,754.23 | Professional | None | $933.25 | $1,949.84 | $2,754.23 |
Quartz Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $2,187.76 | Professional | None | $398.11 | $426.58 | $2,187.76 |
Security Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $1,778.28 | Professional | None | $446.68 | $446.68 | $1,778.28 |
Security Health Setting Professional Modifier None Typical Low $446.68 Median $4,570.88 Typical High $5,888.44 | Professional | None | $446.68 | $4,570.88 | $5,888.44 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $2,570.40 | Professional | None | $354.81 | $501.19 | $2,570.40 |
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 $501.19 Median $501.19 Typical High $2,041.74 | Professional | 52 · Reduced service | $501.19 | $501.19 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $812.83 | Professional | 53 · Discontinued | $199.53 | $199.53 | $812.83 |
Where Wisconsin sits
The same service costs 5.4 times more in Alaska 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· 4th of 51
$1,202
AK $1,905GA $355
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.