How much rates vary
Facilitymedian $389 · 10th to 90th $162 to $955Professionalmedian $427 · 10th to 90th $129 to $1,413
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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $3,311.31 | Professional | None | $389.05 | $389.05 | $3,311.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $891.25 | Facility | None | $691.83 | $851.14 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $512.86 Typical High $1,258.93 | Professional | None | $128.82 | $512.86 | $1,258.93 |
CareSource Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
CareSource Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $954.99 Typical High $1,258.93 | Facility | None | $812.83 | $954.99 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $562.34 Typical High $1,000.00 | Professional | None | $154.88 | $562.34 | $1,000.00 |
DeanCare Setting Facility Modifier None Typical Low $162.18 Median $630.96 Typical High $977.24 | Facility | None | $162.18 | $630.96 | $977.24 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $323.59 Typical High $1,548.82 | Facility | None | $162.18 | $323.59 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $257.04 Typical High $891.25 | Professional | None | $104.71 | $257.04 | $891.25 |
Network Health Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $501.19 | Facility | None | $194.98 | $194.98 | $501.19 |
Network Health Setting Professional Modifier None Typical Low $245.47 Median $323.59 Typical High $912.01 | Professional | None | $245.47 | $323.59 | $912.01 |
Prevea360 Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $416.87 | Facility | None | $162.18 | $263.03 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $354.81 Median $741.31 Typical High $1,071.52 | Professional | None | $354.81 | $741.31 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $83.18 Median $154.88 Typical High $851.14 | Professional | None | $83.18 | $154.88 | $851.14 |
Security Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $691.83 | Professional | None | $131.83 | $131.83 | $691.83 |
Security Health Setting Professional Modifier None Typical Low $131.83 Median $1,778.28 Typical High $2,290.87 | Professional | None | $131.83 | $1,778.28 | $2,290.87 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $1,000.00 | Professional | None | $134.90 | $194.98 | $1,000.00 |
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 $194.98 Median $194.98 Typical High $1,659.59 | Professional | 52 · Reduced service | $194.98 | $194.98 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $660.69 | Professional | 53 · Discontinued | $77.62 | $77.62 | $660.69 |
Where Wisconsin sits
The same service costs 7.9 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· 4th of 51
$417
AK $724AL $91.20
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.