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 $147.91 Median $213.80 Typical High $281.84 | Professional | None (both parts) | $147.91 | $213.80 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $5.01 Median $5.01 Typical High $18.62 | Professional | None (both parts) | $5.01 | $5.01 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $30.90 Typical High $45.71 | Facility | None | $26.92 | $30.90 | $45.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.30 Median $15.49 Typical High $15.85 | Professional | None (both parts) | $12.30 | $15.49 | $15.85 |
DeanCare Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Medica Setting Facility Modifier None Typical Low $7.59 Median $15.49 Typical High $15.49 | Facility | None | $7.59 | $15.49 | $15.49 |
Prevea360 Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Quartz Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Security Health Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Security Health Setting Professional Modifier None (both parts) Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None (both parts) | $12.88 | $12.88 | $12.88 |
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 $74.13 Median $107.15 Typical High $141.25 | Professional | 52 · Reduced service | $74.13 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $42.66 Typical High $56.23 | Professional | 53 · Discontinued | $29.51 | $42.66 | $56.23 |
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· 31st of 51
$12.88
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.