How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $154.88 Median $154.88 Typical High $199.53 | Facility | None | $154.88 | $154.88 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $436.52 | Professional | None | $154.88 | $154.88 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $1,513.56 Typical High $6,165.95 | Professional | None | $371.54 | $1,513.56 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $1,288.25 Typical High $3,548.13 | Professional | None | $128.82 | $1,288.25 | $3,548.13 |
DeanCare Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $199.53 | Facility | None | $128.82 | $128.82 | $199.53 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $186.21 Typical High $1,000.00 | Facility | None | $128.82 | $186.21 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $3,090.30 Typical High $4,168.69 | Professional | None | $1,148.15 | $3,090.30 | $4,168.69 |
Prevea360 Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $199.53 | Facility | None | $128.82 | $128.82 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $186.21 Median $371.54 Typical High $1,905.46 | Professional | None | $186.21 | $371.54 | $1,905.46 |
Quartz Setting Professional Modifier None Typical Low $128.82 Median $1,288.25 Typical High $3,548.13 | Professional | None | $128.82 | $1,288.25 | $3,548.13 |
United Setting Professional Modifier None Typical Low $371.54 Median $1,949.84 Typical High $4,786.30 | Professional | None | $371.54 | $1,949.84 | $4,786.30 |
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 $77.62 Median $77.62 Typical High $218.78 | Professional | 52 · Reduced service | $77.62 | $77.62 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $89.13 | Professional | 53 · Discontinued | $30.90 | $30.90 | $89.13 |
Where Wisconsin sits
The same service costs 14.8 times more in North Carolina than in New York. 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
$1,318
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.