How much rates vary
Facilitymedian $8,128 · 10th to 90th $3,236 to $14,454Professionalmedian $5,370 · 10th to 90th $1,549 to $16,218
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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $12,022.64 | Professional | None | $3,890.45 | $3,890.45 | $12,022.64 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,918.31 Median $8,511.38 Typical High $8,912.51 | Facility | None | $6,918.31 | $8,511.38 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $6,760.83 Typical High $16,982.44 | Professional | None | $1,288.25 | $6,760.83 | $16,982.44 |
Cigna Setting Facility Modifier None Typical Low $8,128.31 Median $9,549.93 Typical High $12,589.25 | Facility | None | $8,128.31 | $9,549.93 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $8,912.51 Typical High $10,000.00 | Professional | None | $1,548.82 | $8,912.51 | $10,000.00 |
DeanCare Setting Facility Modifier None Typical Low $3,890.45 Median $13,182.57 Typical High $17,782.79 | Facility | None | $3,890.45 | $13,182.57 | $17,782.79 |
DeanCare Setting Professional Modifier None Typical Low $19,498.45 Median $19,498.45 Typical High $21,379.62 | Professional | None | $19,498.45 | $19,498.45 | $21,379.62 |
Medica Setting Facility Modifier None Typical Low $2,511.89 Median $3,890.45 Typical High $6,456.54 | Facility | None | $2,511.89 | $3,890.45 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $16,218.10 | Professional | None | $1,698.24 | $3,801.89 | $16,218.10 |
Network Health Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $5,011.87 | Facility | None | $3,162.28 | $3,162.28 | $5,011.87 |
Network Health Setting Professional Modifier None Typical Low $3,235.94 Median $5,128.61 Typical High $9,120.11 | Professional | None | $3,235.94 | $5,128.61 | $9,120.11 |
Prevea360 Setting Facility Modifier None Typical Low $2,511.89 Median $3,890.45 Typical High $6,456.54 | Facility | None | $2,511.89 | $3,890.45 | $6,456.54 |
Quartz Setting Professional Modifier None Typical Low $3,630.78 Median $7,585.78 Typical High $10,715.19 | Professional | None | $3,630.78 | $7,585.78 | $10,715.19 |
Quartz Setting Professional Modifier None Typical Low $1,548.82 Median $1,621.81 Typical High $8,511.38 | Professional | None | $1,548.82 | $1,621.81 | $8,511.38 |
Security Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $6,918.31 | Professional | None | $2,137.96 | $2,137.96 | $6,918.31 |
Security Health Setting Professional Modifier None Typical Low $2,137.96 Median $17,782.79 Typical High $22,908.68 | Professional | None | $2,137.96 | $17,782.79 | $22,908.68 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $10,000.00 | Professional | None | $1,348.96 | $2,089.30 | $10,000.00 |
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 $1,949.84 Median $1,949.84 Typical High $6,025.60 | Professional | 52 · Reduced service | $1,949.84 | $1,949.84 | $6,025.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $776.25 Typical High $2,398.83 | Professional | 53 · Discontinued | $776.25 | $776.25 | $2,398.83 |
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
$5,623
AK $7,244AL $1,349
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.