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 $186.21 Median $257.04 Typical High $371.54 | Professional | None (both parts) | $186.21 | $257.04 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $6.31 Median $6.31 Typical High $23.44 | Professional | None (both parts) | $6.31 | $6.31 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $81.28 Typical High $120.23 | Facility | None | $70.79 | $81.28 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $40.74 Typical High $41.69 | Professional | None (both parts) | $32.36 | $40.74 | $41.69 |
DeanCare Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Medica Setting Facility Modifier None Typical Low $7.59 Median $20.89 Typical High $20.89 | Facility | None | $7.59 | $20.89 | $20.89 |
Network Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
Prevea360 Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Quartz Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Security Health Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Security Health Setting Professional Modifier None (both parts) Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None (both parts) | $15.85 | $15.85 | $15.85 |
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 $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 |
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· 35th of 51
$15.85
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.