How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,950 to $13,804Professionalmedian $4,266 · 10th to 90th $1,202 to $7,244
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 $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $6,760.83 | Professional | None | $4,265.80 | $4,265.80 | $6,760.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $3,467.37 Typical High $3,890.45 | Facility | None | $3,235.94 | $3,467.37 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $2,454.71 Typical High $7,413.10 | Professional | None | $1,000.00 | $2,454.71 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $6,918.31 Typical High $13,803.84 | Facility | None | $4,570.88 | $6,918.31 | $13,803.84 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $3,235.94 Typical High $6,760.83 | Professional | None | $2,041.74 | $3,235.94 | $6,760.83 |
DeanCare Setting Facility Modifier None Typical Low $1,949.84 Median $3,630.78 Typical High $5,248.07 | Facility | None | $1,949.84 | $3,630.78 | $5,248.07 |
DeanCare Setting Professional Modifier None Typical Low $1,778.28 Median $10,000.00 Typical High $10,715.19 | Professional | None | $1,778.28 | $10,000.00 | $10,715.19 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $3,630.78 Typical High $5,248.07 | Facility | None | $1,949.84 | $3,630.78 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,585.78 | Professional | None | $5,248.07 | $5,248.07 | $7,585.78 |
Network Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Network Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Prevea360 Setting Facility Modifier None Typical Low $1,949.84 Median $3,630.78 Typical High $5,248.07 | Facility | None | $1,949.84 | $3,630.78 | $5,248.07 |
Quartz Setting Professional Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $4,265.80 | Professional | None | $1,445.44 | $2,818.38 | $4,265.80 |
Quartz Setting Facility Modifier None Typical Low $6,025.60 Median $13,803.84 Typical High $13,803.84 | Facility | None | $6,025.60 | $13,803.84 | $13,803.84 |
Quartz Setting Professional Modifier None Typical Low $2,041.74 Median $4,466.84 Typical High $4,466.84 | Professional | None | $2,041.74 | $4,466.84 | $4,466.84 |
Security Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Security Health Setting Professional Modifier None Typical Low $2,511.89 Median $3,162.28 Typical High $6,606.93 | Professional | None | $2,511.89 | $3,162.28 | $6,606.93 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,244.36 | Professional | None | $5,248.07 | $5,248.07 | $7,244.36 |
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 $2,089.30 Median $2,089.30 Typical High $3,388.44 | Professional | 52 · Reduced service | $2,089.30 | $2,089.30 | $3,388.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $851.14 Median $851.14 Typical High $1,348.96 | Professional | 53 · Discontinued | $851.14 | $851.14 | $1,348.96 |
Where Wisconsin sits
The same service costs 24.5 times more in West Virginia than in Kansas. 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· 40th of 51
$4,266
WV $5,248KS $214
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.