How much rates vary
Facilitymedian $295 · 10th to 90th $117 to $389Professionalmedian $245 · 10th to 90th $95 to $813
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $1,122.02 | Professional | None | $141.25 | $141.25 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $302.00 Typical High $323.59 | Facility | None | $251.19 | $302.00 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $234.42 Typical High $562.34 | Professional | None | $66.07 | $234.42 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $338.84 Typical High $446.68 | Facility | None | $295.12 | $338.84 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $309.03 Typical High $371.54 | Professional | None | $56.23 | $309.03 | $371.54 |
DeanCare Setting Facility Modifier None Typical Low $141.25 Median $316.23 Typical High $426.58 | Facility | None | $141.25 | $316.23 | $426.58 |
DeanCare Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $776.25 | Professional | None | $691.83 | $691.83 | $776.25 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $141.25 Typical High $562.34 | Facility | None | $117.49 | $141.25 | $562.34 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $416.87 Typical High $954.99 | Professional | None | $95.50 | $416.87 | $954.99 |
Network Health Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $177.83 | Facility | None | $77.62 | $77.62 | $177.83 |
Network Health Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $371.54 | Professional | None | $95.50 | $117.49 | $371.54 |
Prevea360 Setting Facility Modifier None Typical Low $89.13 Median $141.25 Typical High $257.04 | Facility | None | $89.13 | $141.25 | $257.04 |
Quartz Setting Professional Modifier None Typical Low $128.82 Median $269.15 Typical High $380.19 | Professional | None | $128.82 | $269.15 | $380.19 |
Quartz Setting Professional Modifier None Typical Low $56.23 Median $151.36 Typical High $371.54 | Professional | None | $56.23 | $151.36 | $371.54 |
Security Health Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $245.47 | Professional | None | $229.09 | $229.09 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $229.09 Median $630.96 Typical High $812.83 | Professional | None | $229.09 | $630.96 | $812.83 |
The Alliance Setting Professional Modifier None Typical Low $208.93 Median $478.63 Typical High $831.76 | Professional | None | $208.93 | $478.63 | $831.76 |
United Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
United Setting Professional Modifier None Typical Low $72.44 Median $128.82 Typical High $537.03 | Professional | None | $72.44 | $128.82 | $537.03 |
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 $69.18 Median $69.18 Typical High $562.34 | Professional | 52 · Reduced service | $69.18 | $69.18 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $223.87 | Professional | 53 · Discontinued | $28.18 | $28.18 | $223.87 |
Where Wisconsin sits
The same service costs 6.3 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· 3rd of 51
$257
AK $389AL $61.66
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.