How much rates vary
Facilitymedian $724 · 10th to 90th $316 to $1,349Professionalmedian $407 · 10th to 90th $126 to $1,445
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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $316.23 Typical High $1,949.84 | Professional | None | $281.84 | $316.23 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $724.44 | Facility | None | $562.34 | $676.08 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $446.68 Typical High $1,584.89 | Professional | None | $104.71 | $446.68 | $1,584.89 |
CareSource Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $288.40 | Professional | None | $263.03 | $263.03 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $1,023.29 | Facility | None | $660.69 | $776.25 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $724.44 Typical High $812.83 | Professional | None | $125.89 | $724.44 | $812.83 |
DeanCare Setting Facility Modifier None Typical Low $316.23 Median $1,230.27 Typical High $1,659.59 | Facility | None | $316.23 | $1,230.27 | $1,659.59 |
DeanCare Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,737.80 | Professional | None | $1,584.89 | $1,584.89 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $524.81 | Facility | None | $204.17 | $316.23 | $524.81 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $316.23 Typical High $1,318.26 | Professional | None | $151.36 | $316.23 | $1,318.26 |
Network Health Setting Facility Modifier None Typical Low $281.84 Median $316.23 Typical High $758.58 | Facility | None | $281.84 | $316.23 | $758.58 |
Network Health Setting Professional Modifier None Typical Low $263.03 Median $416.87 Typical High $616.60 | Professional | None | $263.03 | $416.87 | $616.60 |
Prevea360 Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $524.81 | Facility | None | $204.17 | $316.23 | $524.81 |
Quartz Setting Professional Modifier None Typical Low $288.40 Median $602.56 Typical High $794.33 | Professional | None | $288.40 | $602.56 | $794.33 |
Quartz Setting Professional Modifier None Typical Low $123.03 Median $138.04 Typical High $676.08 | Professional | None | $123.03 | $138.04 | $676.08 |
Security Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $562.34 | Professional | None | $263.03 | $263.03 | $562.34 |
Security Health Setting Professional Modifier None Typical Low $263.03 Median $758.58 Typical High $1,819.70 | Professional | None | $263.03 | $758.58 | $1,819.70 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
United Setting Professional Modifier None Typical Low $109.65 Median $186.21 Typical High $812.83 | Professional | None | $109.65 | $186.21 | $812.83 |
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 $158.49 Median $158.49 Typical High $1,000.00 | Professional | 52 · Reduced service | $158.49 | $158.49 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $398.11 | Professional | 53 · Discontinued | $63.10 | $63.10 | $398.11 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Delaware. 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
$437
AK $589DE $158
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.