How much rates vary
Facilitymedian $1,413 · 10th to 90th $631 to $2,630Professionalmedian $933 · 10th to 90th $251 to $2,818
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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $3,548.13 | Professional | None | $630.96 | $630.96 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,348.96 Typical High $1,445.44 | Facility | None | $1,122.02 | $1,348.96 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $1,122.02 Typical High $2,754.23 | Professional | None | $208.93 | $1,122.02 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,513.56 Typical High $1,995.26 | Facility | None | $1,318.26 | $1,513.56 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $1,412.54 Typical High $1,621.81 | Professional | None | $251.19 | $1,412.54 | $1,621.81 |
DeanCare Setting Facility Modifier None Typical Low $630.96 Median $2,454.71 Typical High $3,311.31 | Facility | None | $630.96 | $2,454.71 | $3,311.31 |
DeanCare Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,467.37 | Professional | None | $3,090.30 | $3,090.30 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $630.96 Typical High $1,047.13 | Facility | None | $398.11 | $630.96 | $1,047.13 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $630.96 Typical High $2,570.40 | Professional | None | $302.00 | $630.96 | $2,570.40 |
Network Health Setting Facility Modifier None Typical Low $562.34 Median $630.96 Typical High $1,479.11 | Facility | None | $562.34 | $630.96 | $1,479.11 |
Network Health Setting Professional Modifier None Typical Low $524.81 Median $891.25 Typical High $1,479.11 | Professional | None | $524.81 | $891.25 | $1,479.11 |
Prevea360 Setting Facility Modifier None Typical Low $398.11 Median $630.96 Typical High $1,047.13 | Facility | None | $398.11 | $630.96 | $1,047.13 |
Quartz Setting Professional Modifier None Typical Low $575.44 Median $1,230.27 Typical High $1,737.80 | Professional | None | $575.44 | $1,230.27 | $1,737.80 |
Quartz Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $1,348.96 | Professional | None | $251.19 | $263.03 | $1,348.96 |
Security Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Security Health Setting Professional Modifier None Typical Low $2,818.38 Median $2,884.03 Typical High $3,981.07 | Professional | None | $2,818.38 | $2,884.03 | $3,981.07 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None Typical Low $218.78 Median $363.08 Typical High $1,621.81 | Professional | None | $218.78 | $363.08 | $1,621.81 |
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 $309.03 Median $309.03 Typical High $1,778.28 | Professional | 52 · Reduced service | $309.03 | $309.03 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $707.95 | Professional | 53 · Discontinued | $125.89 | $125.89 | $707.95 |
Where Wisconsin sits
The same service costs 8.1 times more in Texas 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· 3rd of 51
$1,023
TX $1,905GA $234
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.