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 $107.15 Median $107.15 Typical High $199.53 | Facility | None | $107.15 | $107.15 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $1,122.02 | Professional | None | $74.13 | $107.15 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $281.84 Typical High $562.34 | Professional | None | $67.61 | $281.84 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $213.80 Typical High $323.59 | Facility | None | $190.55 | $213.80 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $154.88 Typical High $398.11 | Professional | None | $95.50 | $154.88 | $398.11 |
DeanCare Setting Facility Modifier None Typical Low $66.07 Median $85.11 Typical High $141.25 | Facility | None | $66.07 | $85.11 | $141.25 |
DeanCare Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $199.53 | Professional | None | $147.91 | $177.83 | $199.53 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $85.11 Typical High $141.25 | Facility | None | $66.07 | $85.11 | $141.25 |
Medica Setting Professional Modifier None Typical Low $83.18 Median $204.17 Typical High $1,412.54 | Professional | None | $83.18 | $204.17 | $1,412.54 |
Network Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $144.54 | Facility | None | $104.71 | $104.71 | $144.54 |
Network Health Setting Professional Modifier None Typical Low $97.72 Median $186.21 Typical High $323.59 | Professional | None | $97.72 | $186.21 | $323.59 |
Prevea360 Setting Facility Modifier None Typical Low $66.07 Median $85.11 Typical High $141.25 | Facility | None | $66.07 | $85.11 | $141.25 |
Quartz Setting Professional Modifier None Typical Low $77.62 Median $177.83 Typical High $346.74 | Professional | None | $77.62 | $177.83 | $346.74 |
Quartz Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $323.59 | Professional | None | $102.33 | $102.33 | $323.59 |
Security Health Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Security Health Setting Professional Modifier None Typical Low $281.84 Median $436.52 Typical High $562.34 | Professional | None | $281.84 | $436.52 | $562.34 |
The Alliance Setting Professional Modifier None Typical Low $147.91 Median $363.08 Typical High $549.54 | Professional | None | $147.91 | $363.08 | $549.54 |
United Setting Professional Modifier None Typical Low $75.86 Median $190.55 Typical High $416.87 | Professional | None | $75.86 | $190.55 | $416.87 |
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 $53.70 Median $53.70 Typical High $562.34 | Professional | 52 · Reduced service | $53.70 | $53.70 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $229.09 | Professional | 53 · Discontinued | $21.38 | $21.38 | $229.09 |
Where Wisconsin sits
The same service costs 4.2 times more in Alaska 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· 2nd of 51
$209
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.