How much rates vary
Facilitymedian $21 · 10th to 90th $9 to $83Professionalmedian $21 · 10th to 90th $10 to $85
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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $269.15 | Professional | None (both parts) | $20.89 | $20.89 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $11.22 Median $22.39 Typical High $85.11 | Professional | None (both parts) | $11.22 | $22.39 | $85.11 |
CareSource Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $50.12 Typical High $66.07 | Facility | None | $43.65 | $50.12 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $47.86 Typical High $53.70 | Professional | None (both parts) | $19.95 | $47.86 | $53.70 |
DeanCare Setting Facility Modifier None Typical Low $8.91 Median $63.10 Typical High $97.72 | Facility | None | $8.91 | $63.10 | $97.72 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $17.38 Typical High $81.28 | Facility | None | $8.91 | $17.38 | $81.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $10.00 Median $17.38 Typical High $47.86 | Professional | None (both parts) | $10.00 | $17.38 | $47.86 |
Network Health Setting Facility Modifier None Typical Low $18.62 Median $20.89 Typical High $48.98 | Facility | None | $18.62 | $20.89 | $48.98 |
Network Health Setting Professional Modifier None (both parts) Typical Low $12.88 Median $12.88 Typical High $34.67 | Professional | None (both parts) | $12.88 | $12.88 | $34.67 |
Prevea360 Setting Facility Modifier None Typical Low $8.91 Median $15.49 Typical High $21.88 | Facility | None | $8.91 | $15.49 | $21.88 |
Quartz Setting Professional Modifier None Typical Low $19.05 Median $39.81 Typical High $52.48 | Professional | None | $19.05 | $39.81 | $52.48 |
Quartz Setting Professional Modifier None (both parts) Typical Low $9.12 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $9.12 | $44.67 | $44.67 |
Security Health Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Security Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None (both parts) Typical Low $8.71 Median $13.80 Typical High $53.70 | Professional | None (both parts) | $8.71 | $13.80 | $53.70 |
3 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 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $10.47 Typical High $134.90 | Professional | 52 · Reduced service | $10.47 | $10.47 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $53.70 | Professional | 53 · Discontinued | $4.17 | $4.17 | $53.70 |
Where Wisconsin sits
The same service costs 3.3 times more in Alaska than in New Mexico. 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· 6th of 51
$21.38
AK $34.67NM $10.47
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.