How much rates vary
Facilitymedian $110 · 10th to 90th $76 to $295Professionalmedian $178 · 10th to 90th $63 to $603
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 $91.20 Median $104.71 Typical High $109.65 | Facility | None | $91.20 | $104.71 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $616.60 | Professional | None | $77.62 | $109.65 | $616.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $295.12 Typical High $616.60 | Professional | None | $93.33 | $295.12 | $616.60 |
CareSource Setting Professional Modifier None Typical Low $89.13 Median $91.20 Typical High $100.00 | Professional | None | $89.13 | $91.20 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $257.04 Typical High $398.11 | Facility | None | $158.49 | $257.04 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $74.13 Typical High $234.42 | Professional | None | $38.02 | $74.13 | $234.42 |
DeanCare Setting Facility Modifier None Typical Low $70.79 Median $97.72 Typical High $186.21 | Facility | None | $70.79 | $97.72 | $186.21 |
DeanCare Setting Professional Modifier None Typical Low $223.87 Median $245.47 Typical High $295.12 | Professional | None | $223.87 | $245.47 | $295.12 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $100.00 Typical High $186.21 | Facility | None | $70.79 | $100.00 | $186.21 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $380.19 Typical High $602.56 | Professional | None | $87.10 | $380.19 | $602.56 |
Network Health Setting Facility Modifier None Typical Low $36.31 Median $40.74 Typical High $169.82 | Facility | None | $36.31 | $40.74 | $169.82 |
Network Health Setting Professional Modifier None Typical Low $97.72 Median $120.23 Typical High $257.04 | Professional | None | $97.72 | $120.23 | $257.04 |
Prevea360 Setting Facility Modifier None Typical Low $70.79 Median $97.72 Typical High $186.21 | Facility | None | $70.79 | $97.72 | $186.21 |
Quartz Setting Professional Modifier None Typical Low $104.71 Median $194.98 Typical High $275.42 | Professional | None | $104.71 | $194.98 | $275.42 |
Quartz Setting Professional Modifier None Typical Low $38.02 Median $45.71 Typical High $173.78 | Professional | None | $38.02 | $45.71 | $173.78 |
Security Health Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $199.53 | Professional | None | $154.88 | $169.82 | $199.53 |
Security Health Setting Professional Modifier None Typical Low $154.88 Median $416.87 Typical High $630.96 | Professional | None | $154.88 | $416.87 | $630.96 |
The Alliance Setting Professional Modifier None Typical Low $154.88 Median $389.05 Typical High $602.56 | Professional | None | $154.88 | $389.05 | $602.56 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $63.10 Median $97.72 Typical High $354.81 | Professional | None | $63.10 | $97.72 | $354.81 |
4 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 Facility Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $54.95 | Facility | 52 · Reduced service | $45.71 | $45.71 | $54.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $21.88 | Facility | 53 · Discontinued | $18.62 | $18.62 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $54.95 Typical High $309.03 | Professional | 52 · Reduced service | $45.71 | $54.95 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.88 Typical High $123.03 | Professional | 53 · Discontinued | $18.62 | $21.88 | $123.03 |
Where Wisconsin sits
The same service costs 4.5 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· 2nd of 51
$170
AK $240AL $53.70
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.