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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $812.83 | Professional | None | $32.36 | $32.36 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $70.79 Typical High $74.13 | Facility | None | $58.88 | $70.79 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $35.48 Typical High $131.83 | Professional | None | $10.96 | $35.48 | $131.83 |
CareSource Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $79.43 Typical High $104.71 | Facility | None | $69.18 | $79.43 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $46.77 Typical High $85.11 | Professional | None | $12.88 | $46.77 | $85.11 |
DeanCare Setting Facility Modifier None Typical Low $14.13 Median $97.72 Typical High $154.88 | Facility | None | $14.13 | $97.72 | $154.88 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $26.92 Typical High $128.82 | Facility | None | $14.13 | $26.92 | $128.82 |
Medica Setting Professional Modifier None Typical Low $15.85 Median $26.92 Typical High $75.86 | Professional | None | $15.85 | $26.92 | $75.86 |
Network Health Setting Facility Modifier None Typical Low $29.51 Median $32.36 Typical High $77.62 | Facility | None | $29.51 | $32.36 | $77.62 |
Network Health Setting Professional Modifier None Typical Low $20.42 Median $26.92 Typical High $53.70 | Professional | None | $20.42 | $26.92 | $53.70 |
Prevea360 Setting Facility Modifier None Typical Low $14.13 Median $21.88 Typical High $32.36 | Facility | None | $14.13 | $21.88 | $32.36 |
Quartz Setting Professional Modifier None Typical Low $30.20 Median $61.66 Typical High $81.28 | Professional | None | $30.20 | $61.66 | $81.28 |
Quartz Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $70.79 | Professional | None | $12.88 | $12.88 | $70.79 |
Security Health Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $57.54 | Professional | None | $26.92 | $26.92 | $57.54 |
Security Health Setting Professional Modifier None Typical Low $26.92 Median $147.91 Typical High $190.55 | Professional | None | $26.92 | $147.91 | $190.55 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $13.49 Median $21.88 Typical High $83.18 | Professional | None | $13.49 | $21.88 | $83.18 |
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 $16.22 Median $16.22 Typical High $407.38 | Professional | 52 · Reduced service | $16.22 | $16.22 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $162.18 | Professional | 53 · Discontinued | $6.46 | $6.46 | $162.18 |
Where Wisconsin sits
The same service costs 4.0 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· 5th of 51
$33.88
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.