How much rates vary
Facilitymedian $132 · 10th to 90th $62 to $282Professionalmedian $91 · 10th to 90th $31 to $339
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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $602.56 | Professional | None | $61.66 | $61.66 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $141.25 | Facility | None | $109.65 | $131.83 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $102.33 Typical High $288.40 | Professional | None | $22.91 | $102.33 | $288.40 |
CareSource Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | None | $51.29 | $51.29 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $147.91 Typical High $194.98 | Facility | None | $128.82 | $147.91 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $151.36 Typical High $173.78 | Professional | None | $24.55 | $151.36 | $173.78 |
DeanCare Setting Facility Modifier None Typical Low $61.66 Median $257.04 Typical High $346.74 | Facility | None | $61.66 | $257.04 | $346.74 |
DeanCare Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | None | $309.03 | $309.03 | $338.84 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $100.00 Typical High $575.44 | Facility | None | $51.29 | $100.00 | $575.44 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $89.13 Typical High $389.05 | Professional | None | $40.74 | $89.13 | $389.05 |
Network Health Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $114.82 | Facility | None | $61.66 | $61.66 | $114.82 |
Network Health Setting Professional Modifier None Typical Low $72.44 Median $77.62 Typical High $162.18 | Professional | None | $72.44 | $77.62 | $162.18 |
Prevea360 Setting Facility Modifier None Typical Low $39.81 Median $61.66 Typical High $102.33 | Facility | None | $39.81 | $61.66 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $56.23 Median $128.82 Typical High $177.83 | Professional | None | $56.23 | $128.82 | $177.83 |
Quartz Setting Professional Modifier None Typical Low $24.55 Median $26.30 Typical High $162.18 | Professional | None | $24.55 | $26.30 | $162.18 |
Security Health Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $109.65 | Professional | None | $72.44 | $72.44 | $109.65 |
Security Health Setting Professional Modifier None Typical Low $72.44 Median $158.49 Typical High $354.81 | Professional | None | $72.44 | $158.49 | $354.81 |
The Alliance Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
United Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $190.55 | Professional | None | $30.90 | $51.29 | $190.55 |
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 $30.90 Median $30.90 Typical High $302.00 | Professional | 52 · Reduced service | $30.90 | $30.90 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $120.23 | Professional | 53 · Discontinued | $12.30 | $12.30 | $120.23 |
Where Wisconsin sits
The same service costs 4.6 times more in South Carolina than in Connecticut. 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
$100
SC $155CT $33.88
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.