How much rates vary
Facilitymedian $389 · 10th to 90th $162 to $977Professionalmedian $427 · 10th to 90th $132 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 $2,511.89 | Professional | None | $389.05 | $389.05 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $851.14 Typical High $891.25 | Facility | None | $707.95 | $851.14 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $524.81 Typical High $1,258.93 | Professional | None | $131.83 | $524.81 | $1,258.93 |
CareSource Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
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 $1,023.29 | Professional | None | $154.88 | $562.34 | $1,023.29 |
DeanCare Setting Facility Modifier None Typical Low $162.18 Median $630.96 Typical High $891.25 | Facility | None | $162.18 | $630.96 | $891.25 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $316.23 Typical High $1,548.82 | Facility | None | $162.18 | $316.23 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $263.03 Typical High $912.01 | Professional | None | $95.50 | $263.03 | $912.01 |
Network Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $501.19 | Facility | None | $177.83 | $177.83 | $501.19 |
Network Health Setting Professional Modifier None Typical Low $223.87 Median $323.59 Typical High $912.01 | Professional | None | $223.87 | $323.59 | $912.01 |
Prevea360 Setting Facility Modifier None Typical Low $162.18 Median $269.15 Typical High $416.87 | Facility | None | $162.18 | $269.15 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $363.08 Median $741.31 Typical High $1,071.52 | Professional | None | $363.08 | $741.31 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $75.86 Median $154.88 Typical High $851.14 | Professional | None | $75.86 | $154.88 | $851.14 |
Security Health Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $691.83 | Professional | None | $117.49 | $117.49 | $691.83 |
Security Health Setting Professional Modifier None Typical Low $117.49 Median $575.44 Typical High $2,290.87 | Professional | None | $117.49 | $575.44 | $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 $138.04 Median $194.98 Typical High $1,000.00 | Professional | None | $138.04 | $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 $1,258.93 | Professional | 52 · Reduced service | $194.98 | $194.98 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $501.19 | Professional | 53 · Discontinued | $77.62 | $77.62 | $501.19 |
Where Wisconsin sits
The same service costs 8.9 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
$407
AK $741AL $83.18
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.