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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $10,000.00 | Professional | None | $1,778.28 | $1,778.28 | $10,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $3,890.45 Typical High $4,073.80 | Facility | None | $3,162.28 | $3,890.45 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $588.84 Median $2,511.89 Typical High $7,413.10 | Professional | None | $588.84 | $2,511.89 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $4,365.16 Typical High $5,754.40 | Facility | None | $3,715.35 | $4,365.16 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $3,890.45 Typical High $4,677.35 | Professional | None | $794.33 | $3,890.45 | $4,677.35 |
DeanCare Setting Facility Modifier None Typical Low $741.31 Median $5,370.32 Typical High $8,511.38 | Facility | None | $741.31 | $5,370.32 | $8,511.38 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $1,412.54 Typical High $7,079.46 | Facility | None | $741.31 | $1,412.54 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,479.11 Typical High $4,073.80 | Professional | None | $870.96 | $1,479.11 | $4,073.80 |
Network Health Setting Facility Modifier None Typical Low $1,621.81 Median $1,778.28 Typical High $4,265.80 | Facility | None | $1,621.81 | $1,778.28 | $4,265.80 |
Network Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $4,168.69 | Professional | None | $1,122.02 | $1,479.11 | $4,168.69 |
Prevea360 Setting Facility Modifier None Typical Low $741.31 Median $1,230.27 Typical High $1,905.46 | Facility | None | $741.31 | $1,230.27 | $1,905.46 |
Quartz Setting Professional Modifier None Typical Low $1,659.59 Median $3,388.44 Typical High $4,897.79 | Professional | None | $1,659.59 | $3,388.44 | $4,897.79 |
Quartz Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $3,890.45 | Professional | None | $707.95 | $707.95 | $3,890.45 |
Security Health Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Security Health Setting Professional Modifier None Typical Low $8,128.31 Median $8,317.64 Typical High $10,471.29 | Professional | None | $8,128.31 | $8,317.64 | $10,471.29 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
United Setting Professional Modifier None Typical Low $741.31 Median $1,202.26 Typical High $4,570.88 | Professional | None | $741.31 | $1,202.26 | $4,570.88 |
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 $891.25 Median $891.25 Typical High $5,011.87 | Professional | 52 · Reduced service | $891.25 | $891.25 | $5,011.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $2,041.74 | Professional | 53 · Discontinued | $354.81 | $354.81 | $2,041.74 |
Where Wisconsin sits
The same service costs 5.6 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· 4th of 51
$2,138
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.