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 $14.45 Median $14.45 Typical High $16.60 | Facility | None | $14.45 | $14.45 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $346.74 | Professional | None | $14.45 | $14.45 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $33.11 | Facility | None | $25.70 | $30.90 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $19.95 Typical High $87.10 | Professional | None | $5.89 | $19.95 | $87.10 |
CareSource Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $34.67 Typical High $45.71 | Facility | None | $29.51 | $34.67 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $20.42 Typical High $37.15 | Professional | None | $7.76 | $20.42 | $37.15 |
DeanCare Setting Facility Modifier None Typical Low $10.72 Median $58.88 Typical High $91.20 | Facility | None | $10.72 | $58.88 | $91.20 |
Medica Setting Facility Modifier None Typical Low $9.55 Median $12.02 Typical High $85.11 | Facility | None | $9.55 | $12.02 | $85.11 |
Medica Setting Professional Modifier None Typical Low $7.08 Median $12.02 Typical High $38.90 | Professional | None | $7.08 | $12.02 | $38.90 |
Network Health Setting Facility Modifier None Typical Low $14.45 Median $18.20 Typical High $33.88 | Facility | None | $14.45 | $18.20 | $33.88 |
Network Health Setting Professional Modifier None Typical Low $8.91 Median $12.02 Typical High $33.88 | Professional | None | $8.91 | $12.02 | $33.88 |
Prevea360 Setting Facility Modifier None Typical Low $9.55 Median $10.72 Typical High $15.14 | Facility | None | $9.55 | $10.72 | $15.14 |
Quartz Setting Professional Modifier None Typical Low $13.49 Median $28.18 Typical High $50.12 | Professional | None | $13.49 | $28.18 | $50.12 |
Quartz Setting Professional Modifier None Typical Low $5.75 Median $7.76 Typical High $30.90 | Professional | None | $5.75 | $7.76 | $30.90 |
Security Health Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $69.18 | Professional | None | $25.12 | $25.12 | $69.18 |
Security Health Setting Professional Modifier None Typical Low $60.26 Median $69.18 Typical High $83.18 | Professional | None | $60.26 | $69.18 | $83.18 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
United Setting Professional Modifier None Typical Low $6.03 Median $10.47 Typical High $45.71 | Professional | None | $6.03 | $10.47 | $45.71 |
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 $7.08 Median $7.08 Typical High $173.78 | Professional | 52 · Reduced service | $7.08 | $7.08 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $70.79 | Professional | 53 · Discontinued | $2.88 | $2.88 | $70.79 |
Where Wisconsin sits
The same service costs 4.2 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· 7th of 51
$17.78
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.