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 $257.04 Median $371.54 Typical High $489.78 | Professional | None (both parts) | $257.04 | $371.54 | $489.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $5.13 Median $5.13 Typical High $19.05 | Professional | None (both parts) | $5.13 | $5.13 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $56.23 Typical High $85.11 | Facility | None | $50.12 | $56.23 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.18 Typical High $28.84 | Professional | None (both parts) | $22.91 | $28.18 | $28.84 |
DeanCare Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $123.03 | Facility | None | $15.14 | $15.14 | $123.03 |
Prevea360 Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Quartz Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
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 $128.82 Median $186.21 Typical High $245.47 | Professional | 52 · Reduced service | $128.82 | $186.21 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $74.13 Typical High $97.72 | Professional | 53 · Discontinued | $51.29 | $74.13 | $97.72 |
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 3981.1 times more in Montana 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· 29th of 51
$15.14
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.