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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $102.33 | Professional | None | $19.95 | $19.95 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $33.88 Typical High $107.15 | Professional | None | $27.54 | $33.88 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $87.10 Typical High $131.83 | Facility | None | $77.62 | $87.10 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $79.43 | Professional | None | $32.36 | $40.74 | $79.43 |
DeanCare Setting Facility Modifier None Typical Low $26.30 Median $30.90 Typical High $63.10 | Facility | None | $26.30 | $30.90 | $63.10 |
DeanCare Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $30.90 Typical High $63.10 | Facility | None | $26.30 | $30.90 | $63.10 |
Medica Setting Professional Modifier None Typical Low $28.84 Median $87.10 Typical High $223.87 | Professional | None | $28.84 | $87.10 | $223.87 |
Prevea360 Setting Facility Modifier None Typical Low $26.30 Median $30.90 Typical High $63.10 | Facility | None | $26.30 | $30.90 | $63.10 |
Quartz Setting Professional Modifier None Typical Low $21.88 Median $41.69 Typical High $64.57 | Professional | None | $21.88 | $41.69 | $64.57 |
Quartz Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Security Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Security Health Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $223.87 | Professional | None | $147.91 | $173.78 | $223.87 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $26.92 Median $54.95 Typical High $112.20 | Professional | None | $26.92 | $54.95 | $112.20 |
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 $10.00 Median $10.00 Typical High $51.29 | Professional | 52 · Reduced service | $10.00 | $10.00 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $20.42 | Professional | 53 · Discontinued | $3.98 | $3.98 | $20.42 |
Where Wisconsin sits
The same service costs 44.7 times more in Nebraska than in Indiana. 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
$42.66
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.