How much rates vary
Facilitymedian $52 · 10th to 90th $24 to $138Professionalmedian $45 · 10th to 90th $12 to $151
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 $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.99 Typical High $275.42 | Professional | None | $23.44 | $23.99 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $52.48 Typical High $54.95 | Facility | None | $42.66 | $52.48 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $44.67 Typical High $144.54 | Professional | None | $10.00 | $44.67 | $144.54 |
CareSource Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $21.88 | Professional | None | $19.95 | $19.95 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $58.88 Typical High $77.62 | Facility | None | $50.12 | $58.88 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $54.95 Typical High $63.10 | Professional | None | $10.23 | $54.95 | $63.10 |
DeanCare Setting Facility Modifier None Typical Low $23.99 Median $128.82 Typical High $173.78 | Facility | None | $23.99 | $128.82 | $173.78 |
DeanCare Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $134.90 | Professional | None | $120.23 | $120.23 | $134.90 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $25.70 Typical High $93.33 | Facility | None | $19.95 | $25.70 | $93.33 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $28.84 Typical High $165.96 | Professional | None | $12.02 | $28.84 | $165.96 |
Network Health Setting Facility Modifier None Typical Low $23.99 Median $30.90 Typical High $57.54 | Facility | None | $23.99 | $30.90 | $57.54 |
Network Health Setting Professional Modifier None Typical Low $25.12 Median $34.67 Typical High $56.23 | Professional | None | $25.12 | $34.67 | $56.23 |
Prevea360 Setting Facility Modifier None Typical Low $15.49 Median $23.99 Typical High $43.65 | Facility | None | $15.49 | $23.99 | $43.65 |
Quartz Setting Professional Modifier None Typical Low $22.39 Median $50.12 Typical High $69.18 | Professional | None | $22.39 | $50.12 | $69.18 |
Quartz Setting Professional Modifier None Typical Low $9.55 Median $13.18 Typical High $52.48 | Professional | None | $9.55 | $13.18 | $52.48 |
Security Health Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $60.26 | Professional | None | $42.66 | $42.66 | $60.26 |
Security Health Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $141.25 | Professional | None | $60.26 | $83.18 | $141.25 |
The Alliance Setting Professional Modifier None Typical Low $35.48 Median $85.11 Typical High $141.25 | Professional | None | $35.48 | $85.11 | $141.25 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $10.00 Median $16.60 Typical High $75.86 | Professional | None | $10.00 | $16.60 | $75.86 |
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 $12.02 Median $12.02 Typical High $138.04 | Professional | 52 · Reduced service | $12.02 | $12.02 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $56.23 | Professional | 53 · Discontinued | $4.79 | $4.79 | $56.23 |
Where Wisconsin sits
The same service costs 4.3 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
$44.67
AK $44.67AL $10.47
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.