How much rates vary
Facilitymedian $9,772 · 10th to 90th $3,890 to $17,378Professionalmedian $6,457 · 10th to 90th $1,862 to $19,498
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 $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $14,791.08 | Professional | None | $4,677.35 | $4,677.35 | $14,791.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,317.64 Median $10,000.00 Typical High $10,715.19 | Facility | None | $8,317.64 | $10,000.00 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,548.82 Median $8,128.31 Typical High $20,417.38 | Professional | None | $1,548.82 | $8,128.31 | $20,417.38 |
CareSource Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $4,265.80 | Professional | None | $3,890.45 | $3,890.45 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $9,772.37 Median $11,220.18 Typical High $14,791.08 | Facility | None | $9,772.37 | $11,220.18 | $14,791.08 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $10,715.19 Typical High $12,022.64 | Professional | None | $1,862.09 | $10,715.19 | $12,022.64 |
DeanCare Setting Facility Modifier None Typical Low $4,677.35 Median $15,848.93 Typical High $21,877.62 | Facility | None | $4,677.35 | $15,848.93 | $21,877.62 |
DeanCare Setting Professional Modifier None Typical Low $23,442.29 Median $23,442.29 Typical High $25,703.96 | Professional | None | $23,442.29 | $23,442.29 | $25,703.96 |
Medica Setting Facility Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $7,762.47 | Facility | None | $2,951.21 | $4,677.35 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $4,466.84 Typical High $19,498.45 | Professional | None | $1,862.09 | $4,466.84 | $19,498.45 |
Network Health Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $6,025.60 | Facility | None | $3,890.45 | $3,890.45 | $6,025.60 |
Network Health Setting Professional Modifier None Typical Low $3,890.45 Median $6,165.95 Typical High $10,964.78 | Professional | None | $3,890.45 | $6,165.95 | $10,964.78 |
Prevea360 Setting Facility Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $7,762.47 | Facility | None | $2,951.21 | $4,677.35 | $7,762.47 |
Quartz Setting Professional Modifier None Typical Low $4,265.80 Median $9,120.11 Typical High $12,882.50 | Professional | None | $4,265.80 | $9,120.11 | $12,882.50 |
Quartz Setting Professional Modifier None Typical Low $1,862.09 Median $1,949.84 Typical High $10,000.00 | Professional | None | $1,862.09 | $1,949.84 | $10,000.00 |
Security Health Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $8,317.64 | Professional | None | $2,570.40 | $2,570.40 | $8,317.64 |
Security Health Setting Professional Modifier None Typical Low $2,570.40 Median $11,220.18 Typical High $26,915.35 | Professional | None | $2,570.40 | $11,220.18 | $26,915.35 |
United Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,344.23 Typical High $12,022.64 | Professional | None | $1,621.81 | $2,344.23 | $12,022.64 |
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 $2,344.23 Median $2,344.23 Typical High $7,413.10 | Professional | 52 · Reduced service | $2,344.23 | $2,344.23 | $7,413.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $933.25 Median $933.25 Typical High $3,019.95 | Professional | 53 · Discontinued | $933.25 | $933.25 | $3,019.95 |
Where Wisconsin sits
The same service costs 5.4 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· 3rd of 51
$6,607
AK $8,710AL $1,622
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.