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 $8.13 Median $8.13 Typical High $29.51 | Professional | None (both parts) | $8.13 | $8.13 | $29.51 |
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 $16.98 Median $16.98 Typical High $17.78 | Facility | None | $16.98 | $16.98 | $17.78 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $17.78 | Facility | None | $16.98 | $16.98 | $17.78 |
Prevea360 Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $17.78 | Facility | None | $16.98 | $16.98 | $17.78 |
Quartz Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
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 $100.00 Median $144.54 Typical High $194.98 | Professional | 52 · Reduced service | $100.00 | $144.54 | $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 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· 32nd of 51
$16.98
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.