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 $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $363.08 | Professional | None | $22.39 | $22.39 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $48.98 Typical High $51.29 | Facility | None | $39.81 | $48.98 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $23.99 Typical High $91.20 | Professional | None | $7.41 | $23.99 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $54.95 Typical High $72.44 | Facility | None | $46.77 | $54.95 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $32.36 Typical High $57.54 | Professional | None | $8.91 | $32.36 | $57.54 |
DeanCare Setting Facility Modifier None Typical Low $9.77 Median $67.61 Typical High $104.71 | Facility | None | $9.77 | $67.61 | $104.71 |
Medica Setting Facility Modifier None Typical Low $9.77 Median $17.38 Typical High $89.13 | Facility | None | $9.77 | $17.38 | $89.13 |
Medica Setting Professional Modifier None Typical Low $10.72 Median $18.62 Typical High $51.29 | Professional | None | $10.72 | $18.62 | $51.29 |
Network Health Setting Facility Modifier None Typical Low $19.95 Median $22.39 Typical High $53.70 | Facility | None | $19.95 | $22.39 | $53.70 |
Network Health Setting Professional Modifier None Typical Low $14.13 Median $18.62 Typical High $37.15 | Professional | None | $14.13 | $18.62 | $37.15 |
Prevea360 Setting Facility Modifier None Typical Low $9.77 Median $14.79 Typical High $22.39 | Facility | None | $9.77 | $14.79 | $22.39 |
Quartz Setting Professional Modifier None Typical Low $20.89 Median $42.66 Typical High $56.23 | Professional | None | $20.89 | $42.66 | $56.23 |
Quartz Setting Professional Modifier None Typical Low $8.71 Median $8.91 Typical High $48.98 | Professional | None | $8.71 | $8.91 | $48.98 |
Security Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $39.81 | Professional | None | $18.62 | $18.62 | $39.81 |
Security Health Setting Professional Modifier None Typical Low $18.62 Median $53.70 Typical High $131.83 | Professional | None | $18.62 | $53.70 | $131.83 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $9.33 Median $14.79 Typical High $57.54 | Professional | None | $9.33 | $14.79 | $57.54 |
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 $11.22 Median $11.22 Typical High $181.97 | Professional | 52 · Reduced service | $11.22 | $11.22 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $74.13 | Professional | 53 · Discontinued | $4.47 | $4.47 | $74.13 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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
$23.44
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.