How much rates vary
Facilitymedian $380 · 10th to 90th $170 to $724Professionalmedian $219 · 10th to 90th $68 to $708
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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $169.82 Typical High $389.05 | Professional | None | $134.90 | $169.82 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $371.54 Typical High $389.05 | Facility | None | $309.03 | $371.54 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $239.88 Typical High $851.14 | Professional | None | $57.54 | $239.88 | $851.14 |
CareSource Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $158.49 | Professional | None | $141.25 | $141.25 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $549.54 | Facility | None | $354.81 | $416.87 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $389.05 Typical High $446.68 | Professional | None | $67.61 | $389.05 | $446.68 |
DeanCare Setting Facility Modifier None Typical Low $169.82 Median $676.08 Typical High $912.01 | Facility | None | $169.82 | $676.08 | $912.01 |
DeanCare Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $954.99 | Professional | None | $851.14 | $851.14 | $954.99 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $169.82 Typical High $288.40 | Facility | None | $109.65 | $169.82 | $288.40 |
Medica Setting Professional Modifier None Typical Low $83.18 Median $169.82 Typical High $707.95 | Professional | None | $83.18 | $169.82 | $707.95 |
Network Health Setting Facility Modifier None Typical Low $154.88 Median $169.82 Typical High $407.38 | Facility | None | $154.88 | $169.82 | $407.38 |
Network Health Setting Professional Modifier None Typical Low $141.25 Median $229.09 Typical High $338.84 | Professional | None | $141.25 | $229.09 | $338.84 |
Prevea360 Setting Facility Modifier None Typical Low $109.65 Median $169.82 Typical High $288.40 | Facility | None | $109.65 | $169.82 | $288.40 |
Quartz Setting Professional Modifier None Typical Low $158.49 Median $331.13 Typical High $426.58 | Professional | None | $158.49 | $331.13 | $426.58 |
Quartz Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $371.54 | Professional | None | $66.07 | $74.13 | $371.54 |
Security Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $302.00 | Professional | None | $141.25 | $141.25 | $302.00 |
Security Health Setting Professional Modifier None Typical Low $141.25 Median $416.87 Typical High $1,000.00 | Professional | None | $141.25 | $416.87 | $1,000.00 |
The Alliance Setting Professional Modifier None Typical Low $251.19 Median $602.56 Typical High $933.25 | Professional | None | $251.19 | $602.56 | $933.25 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
United Setting Professional Modifier None Typical Low $60.26 Median $100.00 Typical High $436.52 | Professional | None | $60.26 | $100.00 | $436.52 |
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 $85.11 Median $85.11 Typical High $194.98 | Professional | 52 · Reduced service | $85.11 | $85.11 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $77.62 | Professional | 53 · Discontinued | $33.88 | $33.88 | $77.62 |
Where Wisconsin sits
The same service costs 5.1 times more in Alaska than in Alabama. 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· 2nd of 51
$234
AK $324AL $63.10
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.