How much rates vary
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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $3,162.28 | Professional | None | $426.58 | $426.58 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $933.25 Typical High $977.24 | Facility | None | $776.25 | $933.25 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $602.56 Typical High $2,630.27 | Professional | None | $177.83 | $602.56 | $2,630.27 |
CareSource Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,380.38 | Facility | None | $891.25 | $1,047.13 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $616.60 Typical High $1,122.02 | Professional | None | $234.42 | $616.60 | $1,122.02 |
DeanCare Setting Facility Modifier None Typical Low $190.55 Median $1,778.28 Typical High $2,754.23 | Facility | None | $190.55 | $1,778.28 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $354.81 Typical High $1,698.24 | Facility | None | $190.55 | $354.81 | $1,698.24 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $354.81 Typical High $1,174.90 | Professional | None | $213.80 | $354.81 | $1,174.90 |
Network Health Setting Facility Modifier None Typical Low $426.58 Median $549.54 Typical High $1,023.29 | Facility | None | $426.58 | $549.54 | $1,023.29 |
Network Health Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $1,023.29 | Professional | None | $269.15 | $363.08 | $1,023.29 |
Prevea360 Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $457.09 | Facility | None | $190.55 | $295.12 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $398.11 Median $851.14 Typical High $1,174.90 | Professional | None | $398.11 | $851.14 | $1,174.90 |
Quartz Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $933.25 | Professional | None | $169.82 | $190.55 | $933.25 |
Security Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $758.58 | Professional | None | $371.54 | $371.54 | $758.58 |
Security Health Setting Professional Modifier None Typical Low $371.54 Median $1,412.54 Typical High $2,511.89 | Professional | None | $371.54 | $1,412.54 | $2,511.89 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
United Setting Professional Modifier None Typical Low $177.83 Median $309.03 Typical High $1,348.96 | Professional | None | $177.83 | $309.03 | $1,348.96 |
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 $213.80 Median $213.80 Typical High $1,584.89 | Professional | 52 · Reduced service | $213.80 | $213.80 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $645.65 | Professional | 53 · Discontinued | $85.11 | $85.11 | $645.65 |
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· 7th of 51
$513
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.