How much rates vary
Facilitymedian $251 · 10th to 90th $186 to $617Professionalmedian $186 · 10th to 90th $89 to $324
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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $186.21 | Professional | None | $154.88 | $186.21 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $251.19 Typical High $371.54 | Facility | None | $229.09 | $251.19 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $229.09 | Professional | None | $213.80 | $213.80 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $707.95 Typical High $1,047.13 | Facility | None | $616.60 | $707.95 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $173.78 Typical High $323.59 | Professional | None | $89.13 | $173.78 | $323.59 |
DeanCare Setting Facility Modifier None Typical Low $154.88 Median $223.87 Typical High $234.42 | Facility | None | $154.88 | $223.87 | $234.42 |
DeanCare Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | None | $177.83 | $177.83 | $245.47 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $223.87 Typical High $288.40 | Facility | None | $154.88 | $223.87 | $288.40 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $1,096.48 | Professional | None | $91.20 | $112.20 | $1,096.48 |
Network Health Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $323.59 | Professional | None | $165.96 | $213.80 | $323.59 |
Prevea360 Setting Facility Modifier None Typical Low $154.88 Median $223.87 Typical High $234.42 | Facility | None | $154.88 | $223.87 | $234.42 |
Quartz Setting Professional Modifier None Typical Low $181.97 Median $229.09 Typical High $457.09 | Professional | None | $181.97 | $229.09 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
The Alliance Setting Professional Modifier None Typical Low $234.42 Median $269.15 Typical High $446.68 | Professional | None | $234.42 | $269.15 | $446.68 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $177.83 | Professional | None | $74.13 | $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 $77.62 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $77.62 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $30.90 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $23.44 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $15.49 | $18.62 | $18.62 |
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 2.6 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· 4th of 51
$186
MN $229UT $89.13
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.