How much rates vary
Facilitymedian $240 · 10th to 90th $214 to $589Professionalmedian $178 · 10th to 90th $102 to $309
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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $177.83 Typical High $181.97 | Professional | None | $173.78 | $177.83 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $239.88 Typical High $354.81 | Facility | None | $218.78 | $239.88 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $218.78 | Professional | None | $199.53 | $199.53 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $676.08 Typical High $1,000.00 | Facility | None | $588.84 | $676.08 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $204.17 Typical High $309.03 | Professional | None | $104.71 | $204.17 | $309.03 |
DeanCare Setting Facility Modifier None Typical Low $173.78 Median $213.80 Typical High $234.42 | Facility | None | $173.78 | $213.80 | $234.42 |
DeanCare Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $309.03 | Professional | None | $177.83 | $177.83 | $309.03 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $213.80 Typical High $338.84 | Facility | None | $173.78 | $213.80 | $338.84 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $1,621.81 | Professional | None | $95.50 | $128.82 | $1,621.81 |
Network Health Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $309.03 | Professional | None | $158.49 | $204.17 | $309.03 |
Prevea360 Setting Facility Modifier None Typical Low $173.78 Median $213.80 Typical High $234.42 | Facility | None | $173.78 | $213.80 | $234.42 |
Quartz Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $537.03 | Professional | None | $213.80 | $245.47 | $537.03 |
Quartz Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
The Alliance Setting Professional Modifier None Typical Low $275.42 Median $316.23 Typical High $524.81 | Professional | None | $275.42 | $316.23 | $524.81 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $83.18 Median $107.15 Typical High $177.83 | Professional | None | $83.18 | $107.15 | $177.83 |
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 $87.10 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $87.10 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $35.48 Typical High $36.31 | Professional | 53 · Discontinued | $34.67 | $35.48 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | 55 · Aftercare only | $26.30 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.78 Typical High $18.20 | Professional | 56 · Pre-op care only | $17.38 | $17.78 | $18.20 |
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 3.3 times more in Alaska 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· 16th of 51
$182
AK $347UT $105
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.