How much rates vary
Facilitymedian $955 · 10th to 90th $724 to $3,802Professionalmedian $1,148 · 10th to 90th $479 to $3,981
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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $3,630.78 | Professional | None | $954.99 | $954.99 | $3,630.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $2,187.76 | Facility | None | $1,698.24 | $2,089.30 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $1,348.96 Typical High $3,981.07 | Professional | None | $645.65 | $1,348.96 | $3,981.07 |
CareSource Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $3,090.30 | Facility | None | $1,995.26 | $2,344.23 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $2,089.30 Typical High $2,454.71 | Professional | None | $380.19 | $2,089.30 | $2,454.71 |
DeanCare Setting Facility Modifier None Typical Low $724.44 Median $2,884.03 Typical High $4,466.84 | Facility | None | $724.44 | $2,884.03 | $4,466.84 |
DeanCare Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $5,248.07 | Professional | None | $4,786.30 | $4,786.30 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $3,801.89 | Facility | None | $630.96 | $831.76 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $851.14 Typical High $3,981.07 | Professional | None | $457.09 | $851.14 | $3,981.07 |
Network Health Setting Facility Modifier None Typical Low $851.14 Median $954.99 Typical High $2,290.87 | Facility | None | $851.14 | $954.99 | $2,290.87 |
Network Health Setting Professional Modifier None Typical Low $602.56 Median $1,258.93 Typical High $2,238.72 | Professional | None | $602.56 | $1,258.93 | $2,238.72 |
Prevea360 Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $1,023.29 | Facility | None | $630.96 | $831.76 | $1,023.29 |
Quartz Setting Professional Modifier None Typical Low $891.25 Median $1,862.09 Typical High $2,630.27 | Professional | None | $891.25 | $1,862.09 | $2,630.27 |
Quartz Setting Professional Modifier None Typical Low $380.19 Median $416.87 Typical High $2,089.30 | Professional | None | $380.19 | $416.87 | $2,089.30 |
Security Health Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,698.24 | Professional | None | $794.33 | $794.33 | $1,698.24 |
Security Health Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $5,248.07 | Professional | None | $602.56 | $794.33 | $5,248.07 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
United Setting Professional Modifier None Typical Low $346.74 Median $630.96 Typical High $2,454.71 | Professional | None | $346.74 | $630.96 | $2,454.71 |
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 $478.63 Median $478.63 Typical High $1,819.70 | Professional | 52 · Reduced service | $478.63 | $478.63 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $724.44 | Professional | 53 · Discontinued | $190.55 | $190.55 | $724.44 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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
$1,148
AK $1,778KY $479
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.