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 $154.88 Median $223.87 Typical High $295.12 | Professional | None (both parts) | $154.88 | $223.87 | $295.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $12.88 Median $12.88 Typical High $46.77 | Professional | None (both parts) | $12.88 | $12.88 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $53.70 Typical High $81.28 | Facility | None | $47.86 | $53.70 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $27.54 Typical High $28.18 | Professional | None (both parts) | $21.88 | $27.54 | $28.18 |
DeanCare Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $28.18 | Facility | None | $15.14 | $15.14 | $28.18 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $28.18 | Facility | None | $15.14 | $15.14 | $28.18 |
Prevea360 Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $28.18 | Facility | None | $15.14 | $15.14 | $28.18 |
Quartz Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
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 $77.62 Median $112.20 Typical High $147.91 | Professional | 52 · Reduced service | $77.62 | $112.20 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $44.67 Typical High $58.88 | Professional | 53 · Discontinued | $30.90 | $44.67 | $58.88 |
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 Oregon 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· 27th of 51
$22.39
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.