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 $28.18 Median $28.18 Typical High $199.53 | Facility | None | $28.18 | $28.18 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $831.76 | Professional | None | $28.18 | $28.18 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $67.61 Typical High $575.44 | Professional | None | $16.22 | $67.61 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $58.88 Typical High $87.10 | Facility | None | $51.29 | $58.88 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $61.66 Typical High $100.00 | Professional | None | $26.92 | $61.66 | $100.00 |
DeanCare Setting Facility Modifier None Typical Low $17.38 Median $21.88 Typical High $37.15 | Facility | None | $17.38 | $21.88 | $37.15 |
DeanCare Setting Professional Modifier None Typical Low $38.02 Median $46.77 Typical High $52.48 | Professional | None | $38.02 | $46.77 | $52.48 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $21.88 Typical High $37.15 | Facility | None | $17.38 | $21.88 | $37.15 |
Medica Setting Professional Modifier None Typical Low $17.38 Median $63.10 Typical High $645.65 | Professional | None | $17.38 | $63.10 | $645.65 |
Network Health Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $190.55 | Facility | None | $22.39 | $22.39 | $190.55 |
Network Health Setting Professional Modifier None Typical Low $20.89 Median $75.86 Typical High $257.04 | Professional | None | $20.89 | $75.86 | $257.04 |
Prevea360 Setting Facility Modifier None Typical Low $17.38 Median $21.88 Typical High $37.15 | Facility | None | $17.38 | $21.88 | $37.15 |
Quartz Setting Professional Modifier None Typical Low $20.89 Median $44.67 Typical High $77.62 | Professional | None | $20.89 | $44.67 | $77.62 |
Quartz Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $117.49 | Professional | None | $26.92 | $26.92 | $117.49 |
Security Health Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Security Health Setting Professional Modifier None Typical Low $48.98 Median $107.15 Typical High $575.44 | Professional | None | $48.98 | $107.15 | $575.44 |
United Setting Professional Modifier None Typical Low $15.85 Median $46.77 Typical High $120.23 | Professional | None | $15.85 | $46.77 | $120.23 |
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 $14.13 Median $14.13 Typical High $416.87 | Professional | 52 · Reduced service | $14.13 | $14.13 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $165.96 | Professional | 53 · Discontinued | $5.62 | $5.62 | $165.96 |
Where Wisconsin sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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· 9th of 51
$56.23
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.