How much rates vary
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $6,456.54 | Professional | None | $1,096.48 | $1,288.25 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $2,398.83 Typical High $4,897.79 | Professional | None | $1,000.00 | $2,398.83 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $3,388.44 Typical High $4,570.88 | Facility | None | $2,951.21 | $3,388.44 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $2,041.74 Typical High $3,162.28 | Professional | None | $537.03 | $2,041.74 | $3,162.28 |
DeanCare Setting Facility Modifier None Typical Low $831.76 Median $1,258.93 Typical High $1,380.38 | Facility | None | $831.76 | $1,258.93 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $1,258.93 Typical High $7,244.36 | Facility | None | $776.25 | $1,258.93 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $1,096.48 Typical High $2,691.53 | Professional | None | $588.84 | $1,096.48 | $2,691.53 |
Network Health Setting Facility Modifier None Typical Low $169.82 Median $190.55 Typical High $190.55 | Facility | None | $169.82 | $190.55 | $190.55 |
Network Health Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Prevea360 Setting Facility Modifier None Typical Low $831.76 Median $1,258.93 Typical High $1,380.38 | Facility | None | $831.76 | $1,258.93 | $1,380.38 |
Quartz Setting Professional Modifier None Typical Low $1,548.82 Median $3,019.95 Typical High $4,466.84 | Professional | None | $1,548.82 | $3,019.95 | $4,466.84 |
Quartz Setting Professional Modifier None Typical Low $524.81 Median $537.03 Typical High $2,691.53 | Professional | None | $524.81 | $537.03 | $2,691.53 |
Security Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
United Setting Professional Modifier None Typical Low $562.34 Median $851.14 Typical High $2,951.21 | Professional | None | $562.34 | $851.14 | $2,951.21 |
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 $645.65 Median $645.65 Typical High $3,235.94 | Professional | 52 · Reduced service | $645.65 | $645.65 | $3,235.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $1,288.25 | Professional | 53 · Discontinued | $257.04 | $257.04 | $1,288.25 |
Where Wisconsin sits
The same service costs 43.7 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
$1,549
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.