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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $316.23 | Professional | None | $14.45 | $14.45 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $165.96 Typical High $457.09 | Professional | None | $30.20 | $165.96 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $42.66 Typical High $64.57 | Facility | None | $38.02 | $42.66 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $51.29 Typical High $57.54 | Professional | None | $16.22 | $51.29 | $57.54 |
DeanCare Setting Facility Modifier None Typical Low $19.50 Median $26.30 Typical High $43.65 | Facility | None | $19.50 | $26.30 | $43.65 |
DeanCare Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Medica Setting Facility Modifier None Typical Low $13.49 Median $17.38 Typical High $57.54 | Facility | None | $13.49 | $17.38 | $57.54 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $144.54 Typical High $316.23 | Professional | None | $75.86 | $144.54 | $316.23 |
Prevea360 Setting Facility Modifier None Typical Low $19.50 Median $26.30 Typical High $43.65 | Facility | None | $19.50 | $26.30 | $43.65 |
Quartz Setting Professional Modifier None Typical Low $16.22 Median $33.88 Typical High $144.54 | Professional | None | $16.22 | $33.88 | $144.54 |
Quartz Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Security Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Security Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $21.88 Median $123.03 Typical High $316.23 | Professional | None | $21.88 | $123.03 | $316.23 |
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 $7.24 Median $7.24 Typical High $154.88 | Professional | 52 · Reduced service | $7.24 | $7.24 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $63.10 | Professional | 53 · Discontinued | $2.88 | $2.88 | $63.10 |
Where Wisconsin sits
The same service costs 19.1 times more in Nebraska than in Hawaii. 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
$107
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.