How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $912.01 | Professional | None | $57.54 | $57.54 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $123.03 Typical High $131.83 | Facility | None | $102.33 | $123.03 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $79.43 Typical High $346.74 | Professional | None | $23.44 | $79.43 | $346.74 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $141.25 Typical High $186.21 | Facility | None | $120.23 | $141.25 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $123.03 Typical High $177.83 | Professional | None | $28.84 | $123.03 | $177.83 |
DeanCare Setting Facility Modifier None Typical Low $30.90 Median $234.42 Typical High $371.54 | Facility | None | $30.90 | $234.42 | $371.54 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $47.86 Typical High $229.09 | Facility | None | $30.90 | $47.86 | $229.09 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $47.86 Typical High $154.88 | Professional | None | $27.54 | $47.86 | $154.88 |
Network Health Setting Facility Modifier None Typical Low $57.54 Median $74.13 Typical High $74.13 | Facility | None | $57.54 | $74.13 | $74.13 |
Network Health Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $134.90 | Professional | None | $35.48 | $48.98 | $134.90 |
Prevea360 Setting Facility Modifier None Typical Low $30.90 Median $38.90 Typical High $61.66 | Facility | None | $30.90 | $38.90 | $61.66 |
Quartz Setting Professional Modifier None Typical Low $52.48 Median $109.65 Typical High $158.49 | Professional | None | $52.48 | $109.65 | $158.49 |
Quartz Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $281.84 | Professional | None | $22.91 | $28.84 | $281.84 |
Security Health Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $102.33 | Professional | None | $40.74 | $40.74 | $102.33 |
Security Health Setting Professional Modifier None Typical Low $40.74 Median $144.54 Typical High $331.13 | Professional | None | $40.74 | $144.54 | $331.13 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $23.44 Median $38.02 Typical High $181.97 | Professional | None | $23.44 | $38.02 | $181.97 |
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 $28.84 Median $28.84 Typical High $457.09 | Professional | 52 · Reduced service | $28.84 | $28.84 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $181.97 | Professional | 53 · Discontinued | $11.48 | $11.48 | $181.97 |
Where Wisconsin sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 6th of 51
$69.18
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.