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 $181.97 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $181.97 | $257.04 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $6.46 Median $6.46 Typical High $23.44 | Professional | None (both parts) | $6.46 | $6.46 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $69.18 Typical High $104.71 | Facility | None | $61.66 | $69.18 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $28.18 | $35.48 | $35.48 |
DeanCare Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Prevea360 Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Quartz Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
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 $89.13 Median $128.82 Typical High $173.78 | Professional | 52 · Reduced service | $89.13 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $52.48 Typical High $69.18 | Professional | 53 · Discontinued | $36.31 | $52.48 | $69.18 |
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 4677.4 times more in Illinois 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· 28th of 51
$19.50
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.