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 $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 $2,951.21 | Professional | None | $389.05 | $389.05 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $831.76 Typical High $891.25 | Facility | None | $691.83 | $831.76 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $537.03 Typical High $2,344.23 | Professional | None | $158.49 | $537.03 | $2,344.23 |
CareSource Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $954.99 Typical High $1,230.27 | Facility | None | $812.83 | $954.99 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $549.54 Typical High $1,000.00 | Professional | None | $213.80 | $549.54 | $1,000.00 |
DeanCare Setting Facility Modifier None Typical Low $169.82 Median $1,584.89 Typical High $2,511.89 | Facility | None | $169.82 | $1,584.89 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $323.59 Typical High $1,548.82 | Facility | None | $169.82 | $323.59 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $323.59 Typical High $1,047.13 | Professional | None | $194.98 | $323.59 | $1,047.13 |
Network Health Setting Facility Modifier None Typical Low $389.05 Median $501.19 Typical High $933.25 | Facility | None | $389.05 | $501.19 | $933.25 |
Network Health Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $912.01 | Professional | None | $239.88 | $331.13 | $912.01 |
Prevea360 Setting Facility Modifier None Typical Low $169.82 Median $263.03 Typical High $416.87 | Facility | None | $169.82 | $263.03 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $354.81 Median $758.58 Typical High $1,071.52 | Professional | None | $354.81 | $758.58 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $831.76 | Professional | None | $154.88 | $169.82 | $831.76 |
Security Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $691.83 | Professional | None | $331.13 | $331.13 | $691.83 |
Security Health Setting Professional Modifier None Typical Low $331.13 Median $1,288.25 Typical High $2,238.72 | Professional | None | $331.13 | $1,288.25 | $2,238.72 |
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 $162.18 Median $281.84 Typical High $1,230.27 | Professional | None | $162.18 | $281.84 | $1,230.27 |
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 $1,445.44 | Professional | 52 · Reduced service | $194.98 | $194.98 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $588.84 | Professional | 53 · Discontinued | $77.62 | $77.62 | $588.84 |
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· 8th of 51
$468
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.