How much rates vary
Facilitymedian $7,244 · 10th to 90th $2,884 to $10,965Professionalmedian $4,786 · 10th to 90th $1,288 to $14,125
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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $11,481.54 | Professional | None | $3,467.37 | $3,467.37 | $11,481.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $7,413.10 Typical High $7,943.28 | Facility | None | $6,165.95 | $7,413.10 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $6,025.60 Typical High $14,125.38 | Professional | None | $1,148.15 | $6,025.60 | $14,125.38 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $8,317.64 Typical High $10,964.78 | Facility | None | $7,244.36 | $8,317.64 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $7,943.28 Typical High $8,912.51 | Professional | None | $1,380.38 | $7,943.28 | $8,912.51 |
DeanCare Setting Facility Modifier None Typical Low $3,467.37 Median $10,000.00 Typical High $13,489.63 | Facility | None | $3,467.37 | $10,000.00 | $13,489.63 |
DeanCare Setting Professional Modifier None Typical Low $17,378.01 Median $17,378.01 Typical High $19,054.61 | Professional | None | $17,378.01 | $17,378.01 | $19,054.61 |
Medica Setting Facility Modifier None Typical Low $2,187.76 Median $3,467.37 Typical High $5,754.40 | Facility | None | $2,187.76 | $3,467.37 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $3,311.31 Typical High $14,454.40 | Professional | None | $1,288.25 | $3,311.31 | $14,454.40 |
Network Health Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $4,466.84 | Facility | None | $2,398.83 | $2,398.83 | $4,466.84 |
Network Health Setting Professional Modifier None Typical Low $2,884.03 Median $4,570.88 Typical High $8,128.31 | Professional | None | $2,884.03 | $4,570.88 | $8,128.31 |
Prevea360 Setting Facility Modifier None Typical Low $2,187.76 Median $3,467.37 Typical High $5,754.40 | Facility | None | $2,187.76 | $3,467.37 | $5,754.40 |
Quartz Setting Professional Modifier None Typical Low $3,162.28 Median $6,606.93 Typical High $9,549.93 | Professional | None | $3,162.28 | $6,606.93 | $9,549.93 |
Quartz Setting Professional Modifier None Typical Low $1,380.38 Median $1,445.44 Typical High $7,413.10 | Professional | None | $1,380.38 | $1,445.44 | $7,413.10 |
Security Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $6,165.95 | Professional | None | $1,584.89 | $1,584.89 | $6,165.95 |
Security Health Setting Professional Modifier None Typical Low $1,584.89 Median $15,848.93 Typical High $19,952.62 | Professional | None | $1,584.89 | $15,848.93 | $19,952.62 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,819.70 Typical High $8,912.51 | Professional | None | $1,202.26 | $1,819.70 | $8,912.51 |
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 $1,737.80 Median $1,737.80 Typical High $5,754.40 | Professional | 52 · Reduced service | $1,737.80 | $1,737.80 | $5,754.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $691.83 Typical High $2,290.87 | Professional | 53 · Discontinued | $691.83 | $691.83 | $2,290.87 |
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· 2nd of 51
$5,012
AK $6,457AL $1,202
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.