How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 (both parts) Typical Low $181.97 Median $263.03 Typical High $346.74 | Professional | None (both parts) | $181.97 | $263.03 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $5.37 Median $5.37 Typical High $19.50 | Professional | None (both parts) | $5.37 | $5.37 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $33.11 Typical High $48.98 | Facility | None | $28.84 | $33.11 | $48.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $13.18 Median $16.60 Typical High $16.98 | Professional | None (both parts) | $13.18 | $16.60 | $16.98 |
DeanCare Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $11.75 | Facility | None | $9.55 | $9.55 | $11.75 |
Medica Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $177.83 | Facility | None | $9.55 | $9.55 | $177.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Network Health Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None (both parts) | $28.18 | $28.18 | $28.18 |
Prevea360 Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $11.75 | Facility | None | $9.55 | $9.55 | $11.75 |
Quartz Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Security Health Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Security Health Setting Professional Modifier None (both parts) Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None (both parts) | $13.49 | $13.49 | $13.49 |
3 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 $91.20 Median $131.83 Typical High $173.78 | Professional | 52 · Reduced service | $91.20 | $131.83 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $52.48 Typical High $69.18 | Professional | 53 · Discontinued | $36.31 | $52.48 | $69.18 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Where Wisconsin sits
The same service costs 8709.6 times more in West Virginia than in Tennessee. 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· 28th of 51
$13.49
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.