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 $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $331.13 | Professional | None | $19.50 | $19.50 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $41.69 Typical High $44.67 | Facility | None | $34.67 | $41.69 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $26.92 Typical High $117.49 | Professional | None | $7.94 | $26.92 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $47.86 Typical High $61.66 | Facility | None | $40.74 | $47.86 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $27.54 Typical High $50.12 | Professional | None | $10.72 | $27.54 | $50.12 |
DeanCare Setting Facility Modifier None Typical Low $14.45 Median $79.43 Typical High $125.89 | Facility | None | $14.45 | $79.43 | $125.89 |
Medica Setting Facility Modifier None Typical Low $12.88 Median $16.22 Typical High $114.82 | Facility | None | $12.88 | $16.22 | $114.82 |
Medica Setting Professional Modifier None Typical Low $9.77 Median $16.22 Typical High $52.48 | Professional | None | $9.77 | $16.22 | $52.48 |
Network Health Setting Facility Modifier None Typical Low $19.50 Median $25.12 Typical High $45.71 | Facility | None | $19.50 | $25.12 | $45.71 |
Network Health Setting Professional Modifier None Typical Low $12.02 Median $16.60 Typical High $45.71 | Professional | None | $12.02 | $16.60 | $45.71 |
Prevea360 Setting Facility Modifier None Typical Low $12.88 Median $14.45 Typical High $20.42 | Facility | None | $12.88 | $14.45 | $20.42 |
Quartz Setting Professional Modifier None Typical Low $17.78 Median $38.02 Typical High $67.61 | Professional | None | $17.78 | $38.02 | $67.61 |
Quartz Setting Professional Modifier None Typical Low $7.76 Median $10.72 Typical High $41.69 | Professional | None | $7.76 | $10.72 | $41.69 |
Security Health Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | None | $29.51 | $29.51 | $34.67 |
Security Health Setting Professional Modifier None Typical Low $29.51 Median $79.43 Typical High $112.20 | Professional | None | $29.51 | $79.43 | $112.20 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $8.13 Median $13.49 Typical High $61.66 | Professional | None | $8.13 | $13.49 | $61.66 |
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 $9.77 Median $9.77 Typical High $165.96 | Professional | 52 · Reduced service | $9.77 | $9.77 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $66.07 | Professional | 53 · Discontinued | $3.89 | $3.89 | $66.07 |
Where Wisconsin sits
The same service costs 3.0 times more in Alaska than in Rhode Island. 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
$24.55
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.