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 $234.42 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $234.42 | $346.74 | $457.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $4.17 Median $4.17 Typical High $15.14 | Professional | None (both parts) | $4.17 | $4.17 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $69.18 Typical High $102.33 | Facility | None | $60.26 | $69.18 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $34.67 Typical High $35.48 | Professional | None (both parts) | $27.54 | $34.67 | $35.48 |
DeanCare Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Medica Setting Facility Modifier None Typical Low $7.59 Median $18.62 Typical High $18.62 | Facility | None | $7.59 | $18.62 | $18.62 |
Prevea360 Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Quartz Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Security Health Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Security Health Setting Professional Modifier None (both parts) Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None (both parts) | $10.23 | $10.23 | $10.23 |
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 $117.49 Median $169.82 Typical High $229.09 | Professional | 52 · Reduced service | $117.49 | $169.82 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $69.18 Typical High $91.20 | Professional | 53 · Discontinued | $47.86 | $69.18 | $91.20 |
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· 30th 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.