How much rates vary
Facilitymedian $912 · 10th to 90th $501 to $2,754Professionalmedian $776 · 10th to 90th $240 to $2,138
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 $501.19 Median $501.19 Typical High $645.65 | Facility | None | $501.19 | $501.19 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $2,137.96 | Professional | None | $478.63 | $501.19 | $2,137.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,148.15 | Facility | None | $891.25 | $1,071.52 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $891.25 Typical High $3,019.95 | Professional | None | $204.17 | $891.25 | $3,019.95 |
CareSource Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $457.09 | Professional | None | $416.87 | $416.87 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,621.81 | Facility | None | $1,047.13 | $1,230.27 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $1,148.15 Typical High $1,288.25 | Professional | None | $213.80 | $1,148.15 | $1,288.25 |
DeanCare Setting Facility Modifier None Typical Low $501.19 Median $2,630.27 Typical High $3,548.13 | Facility | None | $501.19 | $2,630.27 | $3,548.13 |
DeanCare Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,754.23 | Professional | None | $2,511.89 | $2,511.89 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $912.01 | Facility | None | $501.19 | $776.25 | $912.01 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $602.56 Typical High $2,089.30 | Professional | None | $251.19 | $602.56 | $2,089.30 |
Network Health Setting Facility Modifier None Typical Low $501.19 Median $645.65 Typical High $645.65 | Facility | None | $501.19 | $645.65 | $645.65 |
Network Health Setting Professional Modifier None Typical Low $416.87 Median $707.95 Typical High $1,174.90 | Professional | None | $416.87 | $707.95 | $1,174.90 |
Prevea360 Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $912.01 | Facility | None | $323.59 | $501.19 | $912.01 |
Quartz Setting Professional Modifier None Typical Low $457.09 Median $1,047.13 Typical High $1,445.44 | Professional | None | $457.09 | $1,047.13 | $1,445.44 |
Quartz Setting Professional Modifier None Typical Low $199.53 Median $263.03 Typical High $1,071.52 | Professional | None | $199.53 | $263.03 | $1,071.52 |
Security Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $891.25 | Professional | None | $426.58 | $426.58 | $891.25 |
Security Health Setting Professional Modifier None Typical Low $426.58 Median $2,089.30 Typical High $2,884.03 | Professional | None | $426.58 | $2,089.30 | $2,884.03 |
The Alliance Setting Professional Modifier None Typical Low $741.31 Median $1,778.28 Typical High $2,754.23 | Professional | None | $741.31 | $1,778.28 | $2,754.23 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
United Setting Professional Modifier None Typical Low $173.78 Median $338.84 Typical High $1,584.89 | Professional | None | $173.78 | $338.84 | $1,584.89 |
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 $251.19 Median $251.19 Typical High $1,258.93 | Professional | 52 · Reduced service | $251.19 | $251.19 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $501.19 | Professional | 53 · Discontinued | $100.00 | $100.00 | $501.19 |
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· 2nd of 51
$813
AK $933AL $174
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.