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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $588.84 | Professional | None | $60.26 | $60.26 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $138.04 | Facility | None | $107.15 | $131.83 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $85.11 Typical High $363.08 | Professional | None | $25.12 | $85.11 | $363.08 |
CareSource Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $147.91 Typical High $194.98 | Facility | None | $125.89 | $147.91 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $87.10 Typical High $158.49 | Professional | None | $33.88 | $87.10 | $158.49 |
DeanCare Setting Facility Modifier None Typical Low $41.69 Median $251.19 Typical High $389.05 | Facility | None | $41.69 | $251.19 | $389.05 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $50.12 Typical High $239.88 | Facility | None | $40.74 | $50.12 | $239.88 |
Medica Setting Professional Modifier None Typical Low $29.51 Median $50.12 Typical High $165.96 | Professional | None | $29.51 | $50.12 | $165.96 |
Network Health Setting Facility Modifier None Typical Low $60.26 Median $77.62 Typical High $144.54 | Facility | None | $60.26 | $77.62 | $144.54 |
Network Health Setting Professional Modifier None Typical Low $38.02 Median $51.29 Typical High $141.25 | Professional | None | $38.02 | $51.29 | $141.25 |
Prevea360 Setting Facility Modifier None Typical Low $40.74 Median $45.71 Typical High $64.57 | Facility | None | $40.74 | $45.71 | $64.57 |
Quartz Setting Professional Modifier None Typical Low $56.23 Median $120.23 Typical High $208.93 | Professional | None | $56.23 | $120.23 | $208.93 |
Quartz Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $131.83 | Professional | None | $23.99 | $33.88 | $131.83 |
Security Health Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $107.15 | Professional | None | $51.29 | $51.29 | $107.15 |
Security Health Setting Professional Modifier None Typical Low $51.29 Median $199.53 Typical High $354.81 | Professional | None | $51.29 | $199.53 | $354.81 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $25.12 Median $42.66 Typical High $190.55 | Professional | None | $25.12 | $42.66 | $190.55 |
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 $30.20 Median $30.20 Typical High $295.12 | Professional | 52 · Reduced service | $30.20 | $30.20 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $117.49 | Professional | 53 · Discontinued | $12.02 | $12.02 | $117.49 |
Where Wisconsin sits
The same service costs 3.8 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· 9th of 51
$72.44
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.