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 $158.49 Median $229.09 Typical High $302.00 | Professional | None | $158.49 | $229.09 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $27.54 Typical High $104.71 | Professional | None | $5.01 | $27.54 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $16.22 Typical High $24.55 | Facility | None | $14.45 | $16.22 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $38.90 Typical High $74.13 | Professional | None | $6.61 | $38.90 | $74.13 |
DeanCare Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $43.65 | Facility | None | $18.20 | $18.20 | $43.65 |
Medica Setting Facility Modifier None Typical Low $8.13 Median $18.20 Typical High $112.20 | Facility | None | $8.13 | $18.20 | $112.20 |
Medica Setting Professional Modifier None Typical Low $13.18 Median $23.99 Typical High $63.10 | Professional | None | $13.18 | $23.99 | $63.10 |
Network Health Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Prevea360 Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $43.65 | Facility | None | $18.20 | $18.20 | $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 $12.59 Median $12.59 Typical High $12.59 | Professional | None | $12.59 | $12.59 | $12.59 |
Security Health Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | None | $12.59 | $12.59 | $12.59 |
United Setting Professional Modifier None Typical Low $11.22 Median $18.20 Typical High $70.79 | Professional | None | $11.22 | $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 $77.62 Median $112.20 Typical High $151.36 | Professional | 52 · Reduced service | $77.62 | $112.20 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $45.71 Typical High $60.26 | Professional | 53 · Discontinued | $31.62 | $45.71 | $60.26 |
Where Wisconsin sits
The same service costs 20.0 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· 8th of 51
$26.92
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.