How much rates vary
Facilitymedian $60 · 10th to 90th $25 to $200Professionalmedian $45 · 10th to 90th $12 to $141
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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $169.82 | Professional | None | $24.55 | $24.55 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $52.48 Typical High $56.23 | Facility | None | $43.65 | $52.48 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $45.71 Typical High $165.96 | Professional | None | $10.00 | $45.71 | $165.96 |
CareSource Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $22.39 | Professional | None | $20.42 | $20.42 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $60.26 Typical High $79.43 | Facility | None | $51.29 | $60.26 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $21.38 Typical High $56.23 | Professional | None | $10.72 | $21.38 | $56.23 |
DeanCare Setting Facility Modifier None Typical Low $24.55 Median $128.82 Typical High $173.78 | Facility | None | $24.55 | $128.82 | $173.78 |
DeanCare Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $134.90 | Professional | None | $120.23 | $120.23 | $134.90 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $109.65 Typical High $223.87 | Facility | None | $24.55 | $109.65 | $223.87 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $50.12 Typical High $141.25 | Professional | None | $12.02 | $50.12 | $141.25 |
Network Health Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Network Health Setting Professional Modifier None Typical Low $25.70 Median $35.48 Typical High $57.54 | Professional | None | $25.70 | $35.48 | $57.54 |
Prevea360 Setting Facility Modifier None Typical Low $15.49 Median $24.55 Typical High $43.65 | Facility | None | $15.49 | $24.55 | $43.65 |
Quartz Setting Professional Modifier None Typical Low $22.39 Median $46.77 Typical High $60.26 | Professional | None | $22.39 | $46.77 | $60.26 |
Quartz Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $48.98 | Professional | None | $10.72 | $10.72 | $48.98 |
Security Health Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $42.66 | Professional | None | $23.44 | $23.44 | $42.66 |
Security Health Setting Professional Modifier None Typical Low $23.44 Median $109.65 Typical High $141.25 | Professional | None | $23.44 | $109.65 | $141.25 |
The Alliance Setting Professional Modifier None Typical Low $26.30 Median $51.29 Typical High $57.54 | Professional | None | $26.30 | $51.29 | $57.54 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $12.02 Median $16.60 Typical High $77.62 | Professional | None | $12.02 | $16.60 | $77.62 |
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 $12.02 Median $12.02 Typical High $85.11 | Professional | 52 · Reduced service | $12.02 | $12.02 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $33.88 | Professional | 53 · Discontinued | $4.90 | $4.90 | $33.88 |
Where Wisconsin sits
The same service costs 4.7 times more in Alaska than in Delaware. 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
$45.71
AK $56.23DE $12.02
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.