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 Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $239.88 | Professional | None | $125.89 | $181.97 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.47 Median $27.54 Typical High $104.71 | Professional | None | $4.47 | $27.54 | $104.71 |
CareSource Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $38.90 Typical High $57.54 | Facility | None | $33.88 | $38.90 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $58.88 Typical High $74.13 | Professional | None | $13.80 | $58.88 | $74.13 |
DeanCare Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $43.65 | Facility | None | $9.55 | $9.55 | $43.65 |
Medica Setting Facility Modifier None Typical Low $9.55 Median $112.20 Typical High $363.08 | Facility | None | $9.55 | $112.20 | $363.08 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $21.88 Typical High $63.10 | Professional | None | $10.23 | $21.88 | $63.10 |
Network Health Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Prevea360 Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $43.65 | Facility | None | $9.55 | $9.55 | $43.65 |
Quartz Setting Professional Modifier None Typical Low $26.92 Median $50.12 Typical High $75.86 | Professional | None | $26.92 | $50.12 | $75.86 |
Quartz Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $58.88 | Professional | None | $11.48 | $11.48 | $58.88 |
United Setting Professional Modifier None Typical Low $10.00 Median $15.49 Typical High $70.79 | Professional | None | $10.00 | $15.49 | $70.79 |
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 $63.10 Median $91.20 Typical High $120.23 | Professional | 52 · Reduced service | $63.10 | $91.20 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $36.31 Typical High $47.86 | Professional | 53 · Discontinued | $25.12 | $36.31 | $47.86 |
Where Wisconsin sits
The same service costs 22.4 times more in Alaska than in Georgia. 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· 9th of 51
$27.54
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.