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 $109.65 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $109.65 | $158.49 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $5.89 Median $5.89 Typical High $21.88 | Professional | None (both parts) | $5.89 | $5.89 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $58.88 Typical High $89.13 | Facility | None | $52.48 | $58.88 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $23.99 | $30.20 | $30.20 |
DeanCare Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Prevea360 Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Quartz Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
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 $54.95 Median $79.43 Typical High $104.71 | Professional | 52 · Reduced service | $54.95 | $79.43 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $31.62 Typical High $41.69 | Professional | 53 · Discontinued | $21.88 | $31.62 | $41.69 |
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 5128.6 times more in Kansas 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
$17.38
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.