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 $194.98 Median $281.84 Typical High $380.19 | Professional | None | $194.98 | $281.84 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.37 Median $27.54 Typical High $104.71 | Professional | None | $5.37 | $27.54 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $54.95 Typical High $83.18 | Facility | None | $48.98 | $54.95 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $58.88 Typical High $74.13 | Professional | None | $19.50 | $58.88 | $74.13 |
DeanCare Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $43.65 | Facility | None | $15.85 | $15.85 | $43.65 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $21.88 Typical High $112.20 | Facility | None | $15.85 | $21.88 | $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 $28.18 Median $28.18 Typical High $63.10 | Professional | None | $28.18 | $28.18 | $63.10 |
Prevea360 Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $43.65 | Facility | None | $15.85 | $15.85 | $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 |
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 $97.72 Median $141.25 Typical High $190.55 | Professional | 52 · Reduced service | $97.72 | $141.25 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $57.54 Typical High $75.86 | Professional | 53 · Discontinued | $39.81 | $57.54 | $75.86 |
Where Wisconsin sits
The same service costs 18.6 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· 11th of 51
$28.84
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.