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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $1,096.48 | Professional | None | $79.43 | $79.43 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $173.78 Typical High $181.97 | Facility | None | $144.54 | $173.78 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $112.20 Typical High $489.78 | Professional | None | $33.11 | $112.20 | $489.78 |
CareSource Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $194.98 Typical High $257.04 | Facility | None | $165.96 | $194.98 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $114.82 Typical High $208.93 | Professional | None | $46.77 | $114.82 | $208.93 |
DeanCare Setting Facility Modifier None Typical Low $56.23 Median $331.13 Typical High $512.86 | Facility | None | $56.23 | $331.13 | $512.86 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $66.07 Typical High $316.23 | Facility | None | $53.70 | $66.07 | $316.23 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $66.07 Typical High $218.78 | Professional | None | $38.90 | $66.07 | $218.78 |
Network Health Setting Facility Modifier None Typical Low $79.43 Median $102.33 Typical High $190.55 | Facility | None | $79.43 | $102.33 | $190.55 |
Network Health Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $190.55 | Professional | None | $50.12 | $67.61 | $190.55 |
Prevea360 Setting Facility Modifier None Typical Low $53.70 Median $60.26 Typical High $85.11 | Facility | None | $53.70 | $60.26 | $85.11 |
Quartz Setting Professional Modifier None Typical Low $74.13 Median $158.49 Typical High $218.78 | Professional | None | $74.13 | $158.49 | $218.78 |
Quartz Setting Professional Modifier None Typical Low $31.62 Median $46.77 Typical High $173.78 | Professional | None | $31.62 | $46.77 | $173.78 |
Security Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $141.25 | Professional | None | $69.18 | $69.18 | $141.25 |
Security Health Setting Professional Modifier None Typical Low $69.18 Median $363.08 Typical High $467.74 | Professional | None | $69.18 | $363.08 | $467.74 |
United Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $33.11 Median $56.23 Typical High $251.19 | Professional | None | $33.11 | $56.23 | $251.19 |
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 $39.81 Median $39.81 Typical High $537.03 | Professional | 52 · Reduced service | $39.81 | $39.81 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $218.78 | Professional | 53 · Discontinued | $15.85 | $15.85 | $218.78 |
Where Wisconsin sits
The same service costs 3.9 times more in Kansas than in Texas. 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
$95.50
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.