How much rates vary
Facilitymedian $316 · 10th to 90th $145 to $447Professionalmedian $295 · 10th to 90th $110 to $1,047
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 $173.78 Median $173.78 Typical High $199.53 | Facility | None | $173.78 | $173.78 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $173.78 Typical High $1,479.11 | Professional | None | $158.49 | $173.78 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $371.54 Typical High $398.11 | Facility | None | $309.03 | $371.54 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $295.12 Typical High $707.95 | Professional | None | $70.79 | $295.12 | $707.95 |
CareSource Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $158.49 | Professional | None | $144.54 | $144.54 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $416.87 Typical High $549.54 | Facility | None | $363.08 | $416.87 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $331.13 Typical High $457.09 | Professional | None | $69.18 | $331.13 | $457.09 |
DeanCare Setting Facility Modifier None Typical Low $173.78 Median $316.23 Typical High $426.58 | Facility | None | $173.78 | $316.23 | $426.58 |
DeanCare Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $954.99 | Professional | None | $870.96 | $870.96 | $954.99 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $281.84 Typical High $912.01 | Facility | None | $144.54 | $281.84 | $912.01 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $467.74 Typical High $1,047.13 | Professional | None | $114.82 | $467.74 | $1,047.13 |
Network Health Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $223.87 | Facility | None | $77.62 | $77.62 | $223.87 |
Network Health Setting Professional Modifier None Typical Low $95.50 Median $144.54 Typical High $457.09 | Professional | None | $95.50 | $144.54 | $457.09 |
Prevea360 Setting Facility Modifier None Typical Low $109.65 Median $173.78 Typical High $288.40 | Facility | None | $109.65 | $173.78 | $288.40 |
Quartz Setting Professional Modifier None Typical Low $158.49 Median $331.13 Typical High $467.74 | Professional | None | $158.49 | $331.13 | $467.74 |
Quartz Setting Professional Modifier None Typical Low $69.18 Median $162.18 Typical High $457.09 | Professional | None | $69.18 | $162.18 | $457.09 |
Security Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | None | $257.04 | $257.04 | $309.03 |
Security Health Setting Professional Modifier None Typical Low $257.04 Median $776.25 Typical High $1,000.00 | Professional | None | $257.04 | $776.25 | $1,000.00 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $89.13 Median $144.54 Typical High $575.44 | Professional | None | $89.13 | $144.54 | $575.44 |
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 $87.10 Median $87.10 Typical High $741.31 | Professional | 52 · Reduced service | $87.10 | $87.10 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $295.12 | Professional | 53 · Discontinued | $34.67 | $34.67 | $295.12 |
Where Wisconsin sits
The same service costs 5.6 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
$295
AK $427AL $75.86
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.