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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $89.13 Typical High $707.95 | Professional | None | $85.11 | $89.13 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $194.98 Typical High $204.17 | Facility | None | $162.18 | $194.98 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $125.89 Typical High $549.54 | Professional | None | $37.15 | $125.89 | $549.54 |
CareSource Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
CareSource Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $218.78 Typical High $288.40 | Facility | None | $186.21 | $218.78 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $128.82 Typical High $234.42 | Professional | None | $46.77 | $128.82 | $234.42 |
DeanCare Setting Facility Modifier None Typical Low $60.26 Median $371.54 Typical High $575.44 | Facility | None | $60.26 | $371.54 | $575.44 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $75.86 Typical High $354.81 | Facility | None | $60.26 | $75.86 | $354.81 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $74.13 Typical High $245.47 | Professional | None | $44.67 | $74.13 | $245.47 |
Network Health Setting Facility Modifier None Typical Low $89.13 Median $114.82 Typical High $114.82 | Facility | None | $89.13 | $114.82 | $114.82 |
Network Health Setting Professional Modifier None Typical Low $56.23 Median $75.86 Typical High $213.80 | Professional | None | $56.23 | $75.86 | $213.80 |
Prevea360 Setting Facility Modifier None Typical Low $60.26 Median $61.66 Typical High $95.50 | Facility | None | $60.26 | $61.66 | $95.50 |
Quartz Setting Professional Modifier None Typical Low $83.18 Median $177.83 Typical High $245.47 | Professional | None | $83.18 | $177.83 | $245.47 |
Quartz Setting Professional Modifier None Typical Low $35.48 Median $39.81 Typical High $194.98 | Professional | None | $35.48 | $39.81 | $194.98 |
Security Health Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $158.49 | Professional | None | $77.62 | $77.62 | $158.49 |
Security Health Setting Professional Modifier None Typical Low $77.62 Median $251.19 Typical High $524.81 | Professional | None | $77.62 | $251.19 | $524.81 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $37.15 Median $64.57 Typical High $281.84 | Professional | None | $37.15 | $64.57 | $281.84 |
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 $44.67 Median $44.67 Typical High $354.81 | Professional | 52 · Reduced service | $44.67 | $44.67 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $141.25 | Professional | 53 · Discontinued | $17.78 | $17.78 | $141.25 |
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· 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.