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 Typical Low $186.21 Median $257.04 Typical High $371.54 | Professional | None | $186.21 | $257.04 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $27.54 Typical High $104.71 | Professional | None | $4.07 | $27.54 | $104.71 |
CareSource Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $53.70 Typical High $79.43 | Facility | None | $46.77 | $53.70 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $58.88 Typical High $74.13 | Professional | None | $19.05 | $58.88 | $74.13 |
DeanCare Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $43.65 | Facility | None | $13.80 | $13.80 | $43.65 |
Medica Setting Facility Modifier None Typical Low $8.13 Median $21.88 Typical High $112.20 | Facility | None | $8.13 | $21.88 | $112.20 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $23.44 Typical High $63.10 | Professional | None | $12.30 | $23.44 | $63.10 |
Network Health Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $63.10 | Professional | None | $28.18 | $28.18 | $63.10 |
Prevea360 Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $43.65 | Facility | None | $13.80 | $13.80 | $43.65 |
Quartz Setting Professional Modifier None Typical Low $26.92 Median $50.12 Typical High $75.86 | Professional | None | $26.92 | $50.12 | $75.86 |
Quartz Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $58.88 | Professional | None | $11.48 | $11.48 | $58.88 |
Security Health Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Security Health Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
United Setting Professional Modifier None Typical Low $10.23 Median $18.20 Typical High $70.79 | Professional | None | $10.23 | $18.20 | $70.79 |
2 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 $93.33 Median $128.82 Typical High $181.97 | Professional | 52 · Reduced service | $93.33 | $128.82 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $51.29 Typical High $74.13 | Professional | 53 · Discontinued | $37.15 | $51.29 | $74.13 |
Where Wisconsin sits
The same service costs 24.5 times more in Alaska than in Georgia. 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· 9th of 51
$27.54
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.