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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $2,089.30 | Professional | None | $309.03 | $309.03 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $549.54 Median $676.08 Typical High $707.95 | Facility | None | $549.54 | $676.08 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $575.44 Typical High $1,862.09 | Professional | None | $125.89 | $575.44 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $758.58 Typical High $1,000.00 | Facility | None | $645.65 | $758.58 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $707.95 Typical High $812.83 | Professional | None | $131.83 | $707.95 | $812.83 |
DeanCare Setting Facility Modifier None Typical Low $309.03 Median $1,659.59 Typical High $2,238.72 | Facility | None | $309.03 | $1,659.59 | $2,238.72 |
DeanCare Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,698.24 | Professional | None | $1,548.82 | $1,548.82 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $562.34 | Facility | None | $199.53 | $309.03 | $562.34 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $363.08 Typical High $1,819.70 | Professional | None | $154.88 | $363.08 | $1,819.70 |
Network Health Setting Facility Modifier None Typical Low $309.03 Median $398.11 Typical High $741.31 | Facility | None | $309.03 | $398.11 | $741.31 |
Network Health Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $724.44 | Professional | None | $323.59 | $446.68 | $724.44 |
Prevea360 Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $562.34 | Facility | None | $199.53 | $309.03 | $562.34 |
Quartz Setting Professional Modifier None Typical Low $288.40 Median $645.65 Typical High $912.01 | Professional | None | $288.40 | $645.65 | $912.01 |
Quartz Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $676.08 | Professional | None | $123.03 | $169.82 | $676.08 |
Security Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $549.54 | Professional | None | $512.86 | $512.86 | $549.54 |
Security Health Setting Professional Modifier None Typical Low $512.86 Median $1,412.54 Typical High $1,819.70 | Professional | None | $512.86 | $1,412.54 | $1,819.70 |
United Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
United Setting Professional Modifier None Typical Low $107.15 Median $213.80 Typical High $977.24 | Professional | None | $107.15 | $213.80 | $977.24 |
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 $154.88 Median $154.88 Typical High $1,047.13 | Professional | 52 · Reduced service | $154.88 | $154.88 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $416.87 | Professional | 53 · Discontinued | $61.66 | $61.66 | $416.87 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Georgia. 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
$550
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.