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 $16.60 Median $16.60 Typical High $21.38 | Facility | None | $16.60 | $16.60 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $309.03 | Professional | None | $16.60 | $16.60 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $35.48 Typical High $38.02 | Facility | None | $29.51 | $35.48 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $22.91 Typical High $85.11 | Professional | None | $6.76 | $22.91 | $85.11 |
CareSource Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $40.74 Typical High $53.70 | Facility | None | $35.48 | $40.74 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $23.99 Typical High $42.66 | Professional | None | $9.12 | $23.99 | $42.66 |
DeanCare Setting Facility Modifier None Typical Low $12.30 Median $58.88 Typical High $91.20 | Facility | None | $12.30 | $58.88 | $91.20 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $13.80 Typical High $81.28 | Facility | None | $10.96 | $13.80 | $81.28 |
Medica Setting Professional Modifier None Typical Low $8.32 Median $13.80 Typical High $44.67 | Professional | None | $8.32 | $13.80 | $44.67 |
Network Health Setting Facility Modifier None Typical Low $16.60 Median $18.20 Typical High $33.88 | Facility | None | $16.60 | $18.20 | $33.88 |
Network Health Setting Professional Modifier None Typical Low $10.23 Median $14.13 Typical High $38.90 | Professional | None | $10.23 | $14.13 | $38.90 |
Prevea360 Setting Facility Modifier None Typical Low $10.96 Median $12.30 Typical High $17.78 | Facility | None | $10.96 | $12.30 | $17.78 |
Quartz Setting Professional Modifier None Typical Low $15.14 Median $32.36 Typical High $57.54 | Professional | None | $15.14 | $32.36 | $57.54 |
Quartz Setting Professional Modifier None Typical Low $6.61 Median $9.12 Typical High $35.48 | Professional | None | $6.61 | $9.12 | $35.48 |
Security Health Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $54.95 | Professional | None | $29.51 | $29.51 | $54.95 |
Security Health Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $95.50 | Professional | None | $54.95 | $75.86 | $95.50 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $6.92 Median $10.96 Typical High $52.48 | Professional | None | $6.92 | $10.96 | $52.48 |
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 $8.32 Median $8.32 Typical High $154.88 | Professional | 52 · Reduced service | $8.32 | $8.32 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $61.66 | Professional | 53 · Discontinued | $3.31 | $3.31 | $61.66 |
Where Wisconsin sits
The same service costs 3.4 times more in Kansas than in Maryland. 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
$19.95
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.