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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $263.03 | Professional | None | $72.44 | $72.44 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $154.88 Typical High $165.96 | Facility | None | $128.82 | $154.88 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $85.11 Typical High $234.42 | Professional | None | $23.99 | $85.11 | $234.42 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $177.83 Typical High $229.09 | Facility | None | $151.36 | $177.83 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $89.13 Typical High $186.21 | Professional | None | $28.84 | $89.13 | $186.21 |
DeanCare Setting Facility Modifier None Typical Low $14.79 Median $91.20 Typical High $128.82 | Facility | None | $14.79 | $91.20 | $128.82 |
Medica Setting Facility Modifier None Typical Low $14.79 Median $56.23 Typical High $281.84 | Facility | None | $14.79 | $56.23 | $281.84 |
Medica Setting Professional Modifier None Typical Low $14.13 Median $38.02 Typical High $165.96 | Professional | None | $14.13 | $38.02 | $165.96 |
Network Health Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $93.33 | Facility | None | $25.70 | $25.70 | $93.33 |
Network Health Setting Professional Modifier None Typical Low $32.36 Median $60.26 Typical High $169.82 | Professional | None | $32.36 | $60.26 | $169.82 |
Prevea360 Setting Facility Modifier None Typical Low $14.79 Median $48.98 Typical High $77.62 | Facility | None | $14.79 | $48.98 | $77.62 |
Quartz Setting Professional Modifier None Typical Low $66.07 Median $138.04 Typical High $199.53 | Professional | None | $66.07 | $138.04 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $11.22 Median $28.84 Typical High $154.88 | Professional | None | $11.22 | $28.84 | $154.88 |
Security Health Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $128.82 | Professional | None | $17.38 | $17.38 | $128.82 |
Security Health Setting Professional Modifier None Typical Low $17.38 Median $331.13 Typical High $416.87 | Professional | None | $17.38 | $331.13 | $416.87 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
United Setting Professional Modifier None Typical Low $23.44 Median $36.31 Typical High $186.21 | Professional | None | $23.44 | $36.31 | $186.21 |
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 $36.31 Median $36.31 Typical High $131.83 | Professional | 52 · Reduced service | $36.31 | $36.31 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $52.48 | Professional | 53 · Discontinued | $14.45 | $14.45 | $52.48 |
Where Wisconsin sits
The same service costs 8.7 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
$75.86
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.