How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $371.54 | Professional | None | $95.50 | $95.50 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $208.93 Typical High $218.78 | Facility | None | $173.78 | $208.93 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $134.90 Typical High $588.84 | Professional | None | $13.18 | $134.90 | $588.84 |
CareSource Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $234.42 Typical High $309.03 | Facility | None | $199.53 | $234.42 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $138.04 Typical High $251.19 | Professional | None | $52.48 | $138.04 | $251.19 |
DeanCare Setting Facility Modifier None Typical Low $43.65 Median $398.11 Typical High $616.60 | Facility | None | $43.65 | $398.11 | $616.60 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $79.43 Typical High $380.19 | Facility | None | $43.65 | $79.43 | $380.19 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $81.28 Typical High $263.03 | Professional | None | $46.77 | $81.28 | $263.03 |
Network Health Setting Facility Modifier None Typical Low $95.50 Median $123.03 Typical High $229.09 | Facility | None | $95.50 | $123.03 | $229.09 |
Network Health Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $229.09 | Professional | None | $60.26 | $81.28 | $229.09 |
Prevea360 Setting Facility Modifier None Typical Low $43.65 Median $66.07 Typical High $102.33 | Facility | None | $43.65 | $66.07 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $89.13 Median $169.82 Typical High $239.88 | Professional | None | $89.13 | $169.82 | $239.88 |
Quartz Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $208.93 | Professional | None | $38.02 | $52.48 | $208.93 |
Security Health Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $169.82 | Professional | None | $83.18 | $83.18 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $83.18 Median $436.52 Typical High $562.34 | Professional | None | $83.18 | $436.52 | $562.34 |
United Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
United Setting Professional Modifier None Typical Low $39.81 Median $67.61 Typical High $309.03 | Professional | None | $39.81 | $67.61 | $309.03 |
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 $47.86 Median $47.86 Typical High $186.21 | Professional | 52 · Reduced service | $47.86 | $47.86 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $74.13 | Professional | 53 · Discontinued | $19.50 | $19.50 | $74.13 |
Where Wisconsin sits
The same service costs 4.6 times more in Kansas than in Alabama. 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
$115
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.