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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $380.19 | Professional | None | $194.98 | $194.98 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $446.68 | Facility | None | $346.74 | $416.87 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $251.19 Typical High $691.83 | Professional | None | $64.57 | $251.19 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $478.63 Typical High $616.60 | Facility | None | $407.38 | $478.63 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $275.42 Typical High $501.19 | Professional | None | $77.62 | $275.42 | $501.19 |
DeanCare Setting Facility Modifier None Typical Low $63.10 Median $354.81 Typical High $562.34 | Facility | None | $63.10 | $354.81 | $562.34 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $151.36 Typical High $776.25 | Facility | None | $63.10 | $151.36 | $776.25 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $128.82 Typical High $446.68 | Professional | None | $58.88 | $128.82 | $446.68 |
Network Health Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $251.19 | Facility | None | $112.20 | $112.20 | $251.19 |
Network Health Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $457.09 | Professional | None | $120.23 | $162.18 | $457.09 |
Prevea360 Setting Facility Modifier None Typical Low $63.10 Median $131.83 Typical High $208.93 | Facility | None | $63.10 | $131.83 | $208.93 |
Quartz Setting Professional Modifier None Typical Low $177.83 Median $371.54 Typical High $537.03 | Professional | None | $177.83 | $371.54 | $537.03 |
Quartz Setting Professional Modifier None Typical Low $44.67 Median $77.62 Typical High $416.87 | Professional | None | $44.67 | $77.62 | $416.87 |
Security Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $346.74 | Professional | None | $74.13 | $74.13 | $346.74 |
Security Health Setting Professional Modifier None Typical Low $74.13 Median $363.08 Typical High $1,122.02 | Professional | None | $74.13 | $363.08 | $1,122.02 |
United Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
United Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $501.19 | Professional | None | $67.61 | $100.00 | $501.19 |
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 $97.72 Typical High $190.55 | Professional | 52 · Reduced service | $97.72 | $97.72 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $75.86 | Professional | 53 · Discontinued | $38.90 | $38.90 | $75.86 |
Where Wisconsin sits
The same service costs 7.6 times more in Alaska 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· 4th of 51
$209
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.