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 $204.17 Median $295.12 Typical High $389.05 | Professional | None (both parts) | $204.17 | $295.12 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.00 Median $10.00 Typical High $36.31 | Professional | None (both parts) | $10.00 | $10.00 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $93.33 Typical High $141.25 | Facility | None | $83.18 | $93.33 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $47.86 Typical High $48.98 | Professional | None (both parts) | $38.02 | $47.86 | $48.98 |
DeanCare Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $21.88 | Facility | None | $20.89 | $20.89 | $21.88 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $21.88 | Facility | None | $20.89 | $20.89 | $21.88 |
Prevea360 Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $21.88 | Facility | None | $20.89 | $20.89 | $21.88 |
Quartz Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
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 $102.33 Median $147.91 Typical High $194.98 | Professional | 52 · Reduced service | $102.33 | $147.91 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $58.88 Typical High $77.62 | Professional | 53 · Discontinued | $40.74 | $58.88 | $77.62 |
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 4677.4 times more in North Dakota 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· 33rd of 51
$20.89
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.