How much rates vary
Facilitymedian $71 · 10th to 90th $32 to $191Professionalmedian $65 · 10th to 90th $27 to $219
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 $30.90 Median $31.62 Typical High $36.31 | Facility | None | $30.90 | $31.62 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $204.17 | Professional | None | $31.62 | $31.62 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $69.18 Typical High $72.44 | Facility | None | $57.54 | $69.18 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $60.26 Typical High $218.78 | Professional | None | $15.14 | $60.26 | $218.78 |
CareSource Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $29.51 | Professional | None | $26.92 | $26.92 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $77.62 Typical High $102.33 | Facility | None | $66.07 | $77.62 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $70.79 Typical High $85.11 | Professional | None | $12.59 | $70.79 | $85.11 |
DeanCare Setting Facility Modifier None Typical Low $31.62 Median $169.82 Typical High $229.09 | Facility | None | $31.62 | $169.82 | $229.09 |
DeanCare Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $177.83 | Professional | None | $158.49 | $158.49 | $177.83 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $75.86 Typical High $223.87 | Facility | None | $31.62 | $75.86 | $223.87 |
Medica Setting Professional Modifier None Typical Low $21.38 Median $95.50 Typical High $3,235.94 | Professional | None | $21.38 | $95.50 | $3,235.94 |
Network Health Setting Facility Modifier None Typical Low $31.62 Median $40.74 Typical High $75.86 | Facility | None | $31.62 | $40.74 | $75.86 |
Network Health Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $85.11 | Professional | None | $39.81 | $50.12 | $85.11 |
Prevea360 Setting Facility Modifier None Typical Low $20.42 Median $31.62 Typical High $57.54 | Facility | None | $20.42 | $31.62 | $57.54 |
Quartz Setting Professional Modifier None Typical Low $29.51 Median $61.66 Typical High $89.13 | Professional | None | $29.51 | $61.66 | $89.13 |
Quartz Setting Professional Modifier None Typical Low $12.59 Median $33.88 Typical High $85.11 | Professional | None | $12.59 | $33.88 | $85.11 |
Security Health Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $56.23 | Professional | None | $35.48 | $35.48 | $56.23 |
Security Health Setting Professional Modifier None Typical Low $35.48 Median $144.54 Typical High $204.17 | Professional | None | $35.48 | $144.54 | $204.17 |
The Alliance Setting Professional Modifier None Typical Low $47.86 Median $114.82 Typical High $186.21 | Professional | None | $47.86 | $114.82 | $186.21 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $21.38 Median $36.31 Typical High $120.23 | Professional | None | $21.38 | $36.31 | $120.23 |
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 $15.85 Median $15.85 Typical High $102.33 | Professional | 52 · Reduced service | $15.85 | $15.85 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $40.74 | Professional | 53 · Discontinued | $6.46 | $6.46 | $40.74 |
Where Wisconsin sits
The same service costs 4.5 times more in Alaska 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· 4th of 51
$67.61
AK $95.50MD $21.38
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.