How much rates vary
Facilitymedian $7,762 · 10th to 90th $3,548 to $15,849Professionalmedian $5,370 · 10th to 90th $1,479 to $15,488
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 $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $14,454.40 | Professional | None | $3,715.35 | $3,715.35 | $14,454.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,760.83 Median $8,128.31 Typical High $8,511.38 | Facility | None | $6,760.83 | $8,128.31 | $8,511.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $6,760.83 Typical High $16,218.10 | Professional | None | $1,258.93 | $6,760.83 | $16,218.10 |
Cigna Setting Facility Modifier None Typical Low $7,762.47 Median $9,120.11 Typical High $12,022.64 | Facility | None | $7,762.47 | $9,120.11 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $8,511.38 Typical High $9,772.37 | Professional | None | $1,479.11 | $8,511.38 | $9,772.37 |
DeanCare Setting Facility Modifier None Typical Low $3,715.35 Median $14,791.08 Typical High $19,952.62 | Facility | None | $3,715.35 | $14,791.08 | $19,952.62 |
DeanCare Setting Professional Modifier None Typical Low $18,620.87 Median $18,620.87 Typical High $20,892.96 | Professional | None | $18,620.87 | $18,620.87 | $20,892.96 |
Medica Setting Facility Modifier None Typical Low $2,398.83 Median $3,715.35 Typical High $6,165.95 | Facility | None | $2,398.83 | $3,715.35 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $3,630.78 Typical High $15,488.17 | Professional | None | $1,819.70 | $3,630.78 | $15,488.17 |
Network Health Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,786.30 | Facility | None | $3,548.13 | $3,548.13 | $4,786.30 |
Network Health Setting Professional Modifier None Typical Low $3,090.30 Median $5,011.87 Typical High $8,912.51 | Professional | None | $3,090.30 | $5,011.87 | $8,912.51 |
Prevea360 Setting Facility Modifier None Typical Low $2,398.83 Median $3,715.35 Typical High $6,165.95 | Facility | None | $2,398.83 | $3,715.35 | $6,165.95 |
Quartz Setting Professional Modifier None Typical Low $3,467.37 Median $7,244.36 Typical High $10,232.93 | Professional | None | $3,467.37 | $7,244.36 | $10,232.93 |
Quartz Setting Professional Modifier None Typical Low $1,479.11 Median $1,584.89 Typical High $8,128.31 | Professional | None | $1,479.11 | $1,584.89 | $8,128.31 |
Security Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $6,606.93 | Professional | None | $2,344.23 | $2,344.23 | $6,606.93 |
Security Health Setting Professional Modifier None Typical Low $2,344.23 Median $16,982.44 Typical High $21,877.62 | Professional | None | $2,344.23 | $16,982.44 | $21,877.62 |
United Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $9,549.93 | Professional | None | $1,318.26 | $1,995.26 | $9,549.93 |
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 $1,862.09 Median $1,862.09 Typical High $7,244.36 | Professional | 52 · Reduced service | $1,862.09 | $1,862.09 | $7,244.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $741.31 Typical High $2,884.03 | Professional | 53 · Discontinued | $741.31 | $741.31 | $2,884.03 |
Where Wisconsin sits
The same service costs 6.0 times more in Texas 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
$6,026
TX $7,943AL $1,318
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.