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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $302.00 | Professional | None | $17.38 | $17.38 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $38.02 Typical High $39.81 | Facility | None | $31.62 | $38.02 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $24.55 Typical High $107.15 | Professional | None | $7.24 | $24.55 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $43.65 Typical High $56.23 | Facility | None | $37.15 | $43.65 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $25.12 Typical High $45.71 | Professional | None | $9.55 | $25.12 | $45.71 |
DeanCare Setting Facility Modifier None Typical Low $12.88 Median $72.44 Typical High $112.20 | Facility | None | $12.88 | $72.44 | $112.20 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $14.45 Typical High $74.13 | Facility | None | $11.75 | $14.45 | $74.13 |
Medica Setting Professional Modifier None Typical Low $8.71 Median $14.45 Typical High $47.86 | Professional | None | $8.71 | $14.45 | $47.86 |
Network Health Setting Facility Modifier None Typical Low $17.38 Median $22.39 Typical High $41.69 | Facility | None | $17.38 | $22.39 | $41.69 |
Network Health Setting Professional Modifier None Typical Low $10.96 Median $14.79 Typical High $41.69 | Professional | None | $10.96 | $14.79 | $41.69 |
Prevea360 Setting Facility Modifier None Typical Low $11.75 Median $13.18 Typical High $18.62 | Facility | None | $11.75 | $13.18 | $18.62 |
Quartz Setting Professional Modifier None Typical Low $16.22 Median $34.67 Typical High $61.66 | Professional | None | $16.22 | $34.67 | $61.66 |
Quartz Setting Professional Modifier None Typical Low $6.92 Median $9.55 Typical High $38.02 | Professional | None | $6.92 | $9.55 | $38.02 |
Security Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $66.07 | Professional | None | $30.90 | $30.90 | $66.07 |
Security Health Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $102.33 | Professional | None | $61.66 | $69.18 | $102.33 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $7.24 Median $12.88 Typical High $56.23 | Professional | None | $7.24 | $12.88 | $56.23 |
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 $8.71 Median $8.71 Typical High $147.91 | Professional | 52 · Reduced service | $8.71 | $8.71 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $60.26 | Professional | 53 · Discontinued | $3.47 | $3.47 | $60.26 |
Where Wisconsin sits
The same service costs 3.5 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· 6th of 51
$22.39
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.