How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $1,819.70 | Professional | None | $436.52 | $436.52 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $1,174.90 Typical High $1,737.80 | Professional | None | $407.38 | $1,174.90 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,584.89 Typical High $2,570.40 | Facility | None | $1,380.38 | $1,584.89 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $1,148.15 Typical High $1,318.26 | Professional | None | $467.74 | $1,148.15 | $1,318.26 |
DeanCare Setting Facility Modifier None Typical Low $457.09 Median $562.34 Typical High $831.76 | Facility | None | $457.09 | $562.34 | $831.76 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $562.34 Typical High $891.25 | Facility | None | $467.74 | $562.34 | $891.25 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,230.27 Typical High $1,778.28 | Professional | None | $602.56 | $1,230.27 | $1,778.28 |
Network Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Prevea360 Setting Facility Modifier None Typical Low $457.09 Median $562.34 Typical High $831.76 | Facility | None | $457.09 | $562.34 | $831.76 |
Quartz Setting Professional Modifier None Typical Low $512.86 Median $1,071.52 Typical High $1,380.38 | Professional | None | $512.86 | $1,071.52 | $1,380.38 |
Quartz Setting Facility Modifier None Typical Low $29,512.09 Median $29,512.09 Typical High $29,512.09 | Facility | None | $29,512.09 | $29,512.09 | $29,512.09 |
Quartz Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $954.99 | Professional | None | $467.74 | $467.74 | $954.99 |
Security Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None Typical Low $537.03 Median $1,258.93 Typical High $1,778.28 | Professional | None | $537.03 | $1,258.93 | $1,778.28 |
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 $218.78 Median $218.78 Typical High $912.01 | Professional | 52 · Reduced service | $218.78 | $218.78 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $363.08 | Professional | 53 · Discontinued | $87.10 | $87.10 | $363.08 |
Where Wisconsin sits
The same service costs 70.8 times more in Alaska than in Kentucky. 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
$1,148
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.