How much rates vary
Facilitymedian $166 · 10th to 90th $123 to $407Professionalmedian $123 · 10th to 90th $62 to $214
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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $123.03 | Professional | None | $107.15 | $123.03 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $165.96 Typical High $245.47 | Facility | None | $151.36 | $165.96 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | None | $138.04 | $138.04 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $467.74 Typical High $691.83 | Facility | None | $407.38 | $467.74 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $120.23 Typical High $213.80 | Professional | None | $61.66 | $120.23 | $213.80 |
DeanCare Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $154.88 | Facility | None | $120.23 | $147.91 | $154.88 |
DeanCare Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $213.80 | Professional | None | $162.18 | $177.83 | $213.80 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $199.53 | Facility | None | $120.23 | $147.91 | $199.53 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $794.33 | Professional | None | $63.10 | $74.13 | $794.33 |
Network Health Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Network Health Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $213.80 | Professional | None | $109.65 | $138.04 | $213.80 |
Prevea360 Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $154.88 | Facility | None | $120.23 | $147.91 | $154.88 |
Quartz Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $316.23 | Professional | None | $125.89 | $158.49 | $316.23 |
Quartz Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
The Alliance Setting Professional Modifier None Typical Low $162.18 Median $186.21 Typical High $309.03 | Professional | None | $162.18 | $186.21 | $309.03 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
United Setting Professional Modifier None Typical Low $48.98 Median $72.44 Typical High $117.49 | Professional | None | $48.98 | $72.44 | $117.49 |
7 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 $54.95 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $54.95 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $21.88 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $16.60 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $12.30 Typical High $12.30 | Professional | 56 · Pre-op care only | $10.96 | $12.30 | $12.30 |
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where Wisconsin sits
The same service costs 2.5 times more in Minnesota than in Utah. 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· 7th of 51
$123
MN $151UT $61.66
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.