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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $794.33 | Professional | None | $81.28 | $81.28 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $173.78 Typical High $186.21 | Facility | None | $144.54 | $173.78 | $186.21 |
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 $169.82 Median $194.98 Typical High $257.04 | Facility | None | $169.82 | $194.98 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $114.82 Typical High $208.93 | Professional | None | $35.48 | $114.82 | $208.93 |
DeanCare Setting Facility Modifier None Typical Low $54.95 Median $331.13 Typical High $524.81 | Facility | None | $54.95 | $331.13 | $524.81 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $67.61 Typical High $316.23 | Facility | None | $53.70 | $67.61 | $316.23 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $67.61 Typical High $218.78 | Professional | None | $39.81 | $67.61 | $218.78 |
Network Health Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $190.55 | Facility | None | $81.28 | $104.71 | $190.55 |
Network Health Setting Professional Modifier None Typical Low $50.12 Median $69.18 Typical High $190.55 | Professional | None | $50.12 | $69.18 | $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 $281.84 | Professional | None | $74.13 | $158.49 | $281.84 |
Quartz Setting Professional Modifier None Typical Low $32.36 Median $35.48 Typical High $173.78 | Professional | None | $32.36 | $35.48 | $173.78 |
Security Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $144.54 | Professional | None | $69.18 | $69.18 | $144.54 |
Security Health Setting Professional Modifier None Typical Low $69.18 Median $269.15 Typical High $467.74 | Professional | None | $69.18 | $269.15 | $467.74 |
United Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
United Setting Professional Modifier None Typical Low $33.88 Median $56.23 Typical High $257.04 | Professional | None | $33.88 | $56.23 | $257.04 |
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 $40.74 Median $40.74 Typical High $398.11 | Professional | 52 · Reduced service | $40.74 | $40.74 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $158.49 | Professional | 53 · Discontinued | $16.22 | $16.22 | $158.49 |
Where Wisconsin sits
The same service costs 3.3 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
$97.72
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.