How much rates vary
Facilitymedian $339 · 10th to 90th $112 to $1,230Professionalmedian $275 · 10th to 90th $105 to $1,175
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 $263.03 Median $263.03 Typical High $302.00 | Facility | None | $263.03 | $263.03 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $2,691.53 | Professional | None | $263.03 | $263.03 | $2,691.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $562.34 Typical High $602.56 | Facility | None | $467.74 | $562.34 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $281.84 Typical High $1,071.52 | Professional | None | $87.10 | $281.84 | $1,071.52 |
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 $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $645.65 Typical High $831.76 | Facility | None | $549.54 | $645.65 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $316.23 Typical High $676.08 | Professional | None | $104.71 | $316.23 | $676.08 |
DeanCare Setting Facility Modifier None Typical Low $112.20 Median $794.33 Typical High $1,230.27 | Facility | None | $112.20 | $794.33 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $263.03 Typical High $1,047.13 | Facility | None | $112.20 | $263.03 | $1,047.13 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $218.78 Typical High $602.56 | Professional | None | $125.89 | $218.78 | $602.56 |
Network Health Setting Facility Modifier None Typical Low $234.42 Median $263.03 Typical High $630.96 | Facility | None | $234.42 | $263.03 | $630.96 |
Network Health Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $436.52 | Professional | None | $162.18 | $162.18 | $436.52 |
Prevea360 Setting Facility Modifier None Typical Low $112.20 Median $173.78 Typical High $263.03 | Facility | None | $112.20 | $173.78 | $263.03 |
Quartz Setting Professional Modifier None Typical Low $239.88 Median $501.19 Typical High $660.69 | Professional | None | $239.88 | $501.19 | $660.69 |
Quartz Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $407.38 | Professional | None | $104.71 | $104.71 | $407.38 |
Security Health Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $467.74 | Professional | None | $218.78 | $218.78 | $467.74 |
Security Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,318.26 Typical High $1,513.56 | Facility | None | $1,230.27 | $1,318.26 | $1,513.56 |
Security Health Setting Professional Modifier None Typical Low $218.78 Median $1,174.90 Typical High $1,479.11 | Professional | None | $218.78 | $1,174.90 | $1,479.11 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $109.65 Median $173.78 Typical High $676.08 | Professional | None | $109.65 | $173.78 | $676.08 |
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 $131.83 Median $131.83 Typical High $1,348.96 | Professional | 52 · Reduced service | $131.83 | $131.83 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $537.03 | Professional | 53 · Discontinued | $52.48 | $52.48 | $537.03 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in West Virginia. 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
$282
AK $490WV $132
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.