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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $831.76 | Professional | None | $46.77 | $46.77 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $100.00 Typical High $107.15 | Facility | None | $83.18 | $100.00 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $50.12 Typical High $186.21 | Professional | None | $15.49 | $50.12 | $186.21 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $112.20 Typical High $147.91 | Facility | None | $95.50 | $112.20 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $66.07 Typical High $120.23 | Professional | None | $18.62 | $66.07 | $120.23 |
DeanCare Setting Facility Modifier None Typical Low $19.95 Median $141.25 Typical High $218.78 | Facility | None | $19.95 | $141.25 | $218.78 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $36.31 Typical High $181.97 | Facility | None | $19.95 | $36.31 | $181.97 |
Medica Setting Professional Modifier None Typical Low $22.39 Median $38.90 Typical High $107.15 | Professional | None | $22.39 | $38.90 | $107.15 |
Network Health Setting Facility Modifier None Typical Low $41.69 Median $46.77 Typical High $109.65 | Facility | None | $41.69 | $46.77 | $109.65 |
Network Health Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $77.62 | Professional | None | $28.84 | $38.90 | $77.62 |
Prevea360 Setting Facility Modifier None Typical Low $19.95 Median $30.90 Typical High $46.77 | Facility | None | $19.95 | $30.90 | $46.77 |
Quartz Setting Professional Modifier None Typical Low $42.66 Median $87.10 Typical High $114.82 | Professional | None | $42.66 | $87.10 | $114.82 |
Quartz Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $100.00 | Professional | None | $18.20 | $18.62 | $100.00 |
Security Health Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $81.28 | Professional | None | $38.90 | $38.90 | $81.28 |
Security Health Setting Professional Modifier None Typical Low $38.90 Median $208.93 Typical High $269.15 | Professional | None | $38.90 | $208.93 | $269.15 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $19.50 Median $30.90 Typical High $120.23 | Professional | None | $19.50 | $30.90 | $120.23 |
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 $22.91 Median $22.91 Typical High $416.87 | Professional | 52 · Reduced service | $22.91 | $22.91 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $165.96 | Professional | 53 · Discontinued | $9.33 | $9.33 | $165.96 |
Where Wisconsin sits
The same service costs 5.6 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
$47.86
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.