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 $3.63 Median $3.80 Typical High $4.90 | Facility | None | $3.63 | $3.80 | $4.90 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.80 Typical High $56.23 | Professional | None | $3.72 | $3.80 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.76 Median $8.32 Typical High $8.71 | Facility | None | $6.76 | $8.32 | $8.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $5.25 Typical High $17.78 | Professional | None | $2.34 | $5.25 | $17.78 |
CareSource Setting Facility Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Facility | None | $1.86 | $1.86 | $1.86 |
CareSource Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $9.55 Typical High $12.59 | Facility | None | $8.13 | $9.55 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $8.32 Typical High $16.22 | Professional | None | $2.45 | $8.32 | $16.22 |
DeanCare Setting Facility Modifier None Typical Low $2.82 Median $15.85 Typical High $24.55 | Facility | None | $2.82 | $15.85 | $24.55 |
Medica Setting Facility Modifier None Typical Low $4.37 Median $45.71 Typical High $95.50 | Facility | None | $4.37 | $45.71 | $95.50 |
Medica Setting Professional Modifier None Typical Low $1.91 Median $4.27 Typical High $12.02 | Professional | None | $1.91 | $4.27 | $12.02 |
Network Health Setting Facility Modifier None Typical Low $3.80 Median $4.90 Typical High $9.12 | Facility | None | $3.80 | $4.90 | $9.12 |
Network Health Setting Professional Modifier None Typical Low $2.40 Median $3.24 Typical High $8.91 | Professional | None | $2.40 | $3.24 | $8.91 |
Prevea360 Setting Facility Modifier None Typical Low $2.51 Median $2.82 Typical High $4.07 | Facility | None | $2.51 | $2.82 | $4.07 |
Quartz Setting Professional Modifier None Typical Low $3.89 Median $7.59 Typical High $18.20 | Professional | None | $3.89 | $7.59 | $18.20 |
Quartz Setting Professional Modifier None Typical Low $2.14 Median $2.45 Typical High $33.11 | Professional | None | $2.14 | $2.45 | $33.11 |
Security Health Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $10.23 | Professional | None | $6.76 | $6.76 | $10.23 |
Security Health Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $22.39 | Professional | None | $10.23 | $14.45 | $22.39 |
United Setting Facility Modifier None Typical Low $1.12 Median $1.12 Typical High $3.80 | Facility | None | $1.12 | $1.12 | $3.80 |
United Setting Professional Modifier None Typical Low $1.91 Median $3.16 Typical High $12.02 | Professional | None | $1.91 | $3.16 | $12.02 |
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 $1.91 Median $1.91 Typical High $31.62 | Professional | 52 · Reduced service | $1.91 | $1.91 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.76 Typical High $12.59 | Professional | 53 · Discontinued | $0.76 | $0.76 | $12.59 |
Where Wisconsin sits
The same service costs 22.4 times more in Minnesota than in Washington, DC. 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
$7.24
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.