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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $1,000.00 | Professional | None | $218.78 | $218.78 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $588.84 Typical High $870.96 | Professional | None | $204.17 | $588.84 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $776.25 Typical High $1,288.25 | Facility | None | $691.83 | $776.25 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $575.44 Typical High $660.69 | Professional | None | $234.42 | $575.44 | $660.69 |
DeanCare Setting Facility Modifier None Typical Low $229.09 Median $281.84 Typical High $416.87 | Facility | None | $229.09 | $281.84 | $416.87 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $281.84 Typical High $436.52 | Facility | None | $234.42 | $281.84 | $436.52 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $616.60 Typical High $891.25 | Professional | None | $302.00 | $616.60 | $891.25 |
Network Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Prevea360 Setting Facility Modifier None Typical Low $229.09 Median $281.84 Typical High $416.87 | Facility | None | $229.09 | $281.84 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $257.04 Median $537.03 Typical High $691.83 | Professional | None | $257.04 | $537.03 | $691.83 |
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 $234.42 Median $234.42 Typical High $467.74 | Professional | None | $234.42 | $234.42 | $467.74 |
Security Health Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
United Setting Professional Modifier None Typical Low $269.15 Median $630.96 Typical High $891.25 | Professional | None | $269.15 | $630.96 | $891.25 |
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 $109.65 Median $109.65 Typical High $501.19 | Professional | 52 · Reduced service | $109.65 | $109.65 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $199.53 | Professional | 53 · Discontinued | $43.65 | $43.65 | $199.53 |
Where Wisconsin sits
The same service costs 67.6 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
$575
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.