How much rates vary
Facilitymedian $112 · 10th to 90th $51 to $295Professionalmedian $95 · 10th to 90th $25 to $355
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 $51.29 Median $51.29 Typical High $66.07 | Facility | None | $51.29 | $51.29 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $954.99 | Professional | None | $51.29 | $51.29 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $112.20 Typical High $117.49 | Facility | None | $91.20 | $112.20 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $95.50 Typical High $309.03 | Professional | None | $21.38 | $95.50 | $309.03 |
CareSource Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $46.77 | Professional | None | $42.66 | $42.66 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $165.96 | Facility | None | $107.15 | $125.89 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $117.49 Typical High $134.90 | Professional | None | $21.88 | $117.49 | $134.90 |
DeanCare Setting Facility Modifier None Typical Low $51.29 Median $275.42 Typical High $371.54 | Facility | None | $51.29 | $275.42 | $371.54 |
DeanCare Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $288.40 | Professional | None | $257.04 | $257.04 | $288.40 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $93.33 Typical High $346.74 | Facility | None | $42.66 | $93.33 | $346.74 |
Medica Setting Professional Modifier None Typical Low $25.70 Median $60.26 Typical High $630.96 | Professional | None | $25.70 | $60.26 | $630.96 |
Network Health Setting Facility Modifier None Typical Low $51.29 Median $66.07 Typical High $123.03 | Facility | None | $51.29 | $66.07 | $123.03 |
Network Health Setting Professional Modifier None Typical Low $53.70 Median $74.13 Typical High $120.23 | Professional | None | $53.70 | $74.13 | $120.23 |
Prevea360 Setting Facility Modifier None Typical Low $33.11 Median $51.29 Typical High $93.33 | Facility | None | $33.11 | $51.29 | $93.33 |
Quartz Setting Professional Modifier None Typical Low $47.86 Median $107.15 Typical High $177.83 | Professional | None | $47.86 | $107.15 | $177.83 |
Quartz Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $112.20 | Professional | None | $20.42 | $28.18 | $112.20 |
Security Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $154.88 | Professional | None | $91.20 | $91.20 | $154.88 |
Security Health Setting Professional Modifier None Typical Low $154.88 Median $173.78 Typical High $302.00 | Professional | None | $154.88 | $173.78 | $302.00 |
The Alliance Setting Professional Modifier None Typical Low $75.86 Median $181.97 Typical High $323.59 | Professional | None | $75.86 | $181.97 | $323.59 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $21.38 Median $35.48 Typical High $162.18 | Professional | None | $21.38 | $35.48 | $162.18 |
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 $25.70 Median $25.70 Typical High $562.34 | Professional | 52 · Reduced service | $25.70 | $25.70 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $229.09 | Professional | 53 · Discontinued | $10.23 | $10.23 | $229.09 |
Where Wisconsin sits
The same service costs 4.2 times more in Vermont than in Maryland. 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· 3rd of 51
$95.50
VT $135MD $32.36
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.