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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $67.61 Typical High $436.52 | Professional | None | $66.07 | $67.61 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $144.54 Typical High $154.88 | Facility | None | $120.23 | $144.54 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $93.33 Typical High $407.38 | Professional | None | $27.54 | $93.33 | $407.38 |
CareSource Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $165.96 Typical High $213.80 | Facility | None | $141.25 | $165.96 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $95.50 Typical High $173.78 | Professional | None | $26.92 | $95.50 | $173.78 |
DeanCare Setting Facility Modifier None Typical Low $19.50 Median $275.42 Typical High $436.52 | Facility | None | $19.50 | $275.42 | $436.52 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $56.23 Typical High $263.03 | Facility | None | $19.50 | $56.23 | $263.03 |
Medica Setting Professional Modifier None Typical Low $33.11 Median $56.23 Typical High $181.97 | Professional | None | $33.11 | $56.23 | $181.97 |
Network Health Setting Facility Modifier None Typical Low $67.61 Median $87.10 Typical High $158.49 | Facility | None | $67.61 | $87.10 | $158.49 |
Network Health Setting Professional Modifier None Typical Low $41.69 Median $57.54 Typical High $158.49 | Professional | None | $41.69 | $57.54 | $158.49 |
Prevea360 Setting Facility Modifier None Typical Low $19.50 Median $45.71 Typical High $70.79 | Facility | None | $19.50 | $45.71 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $61.66 Median $131.83 Typical High $234.42 | Professional | None | $61.66 | $131.83 | $234.42 |
Quartz Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $144.54 | Professional | None | $26.92 | $26.92 | $144.54 |
Security Health Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $120.23 | Professional | None | $57.54 | $57.54 | $120.23 |
Security Health Setting Professional Modifier None Typical Low $57.54 Median $302.00 Typical High $389.05 | Professional | None | $57.54 | $302.00 | $389.05 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $28.18 Median $46.77 Typical High $213.80 | Professional | None | $28.18 | $46.77 | $213.80 |
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 $33.88 Median $33.88 Typical High $218.78 | Professional | 52 · Reduced service | $33.88 | $33.88 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $87.10 | Professional | 53 · Discontinued | $13.49 | $13.49 | $87.10 |
Where Wisconsin sits
The same service costs 4.3 times more in Kansas than in Oklahoma. 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· 7th of 51
$81.28
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.