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 $2.57 Median $2.57 Typical High $2.57 | Facility | None | $2.57 | $2.57 | $2.57 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $2.57 Typical High $38.02 | Professional | None | $2.51 | $2.57 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.68 Median $5.62 Typical High $6.03 | Facility | None | $4.68 | $5.62 | $6.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.07 Median $3.63 Typical High $12.02 | Professional | None | $1.07 | $3.63 | $12.02 |
CareSource Setting Facility Modifier None Typical Low $1.29 Median $1.29 Typical High $1.29 | Facility | None | $1.29 | $1.29 | $1.29 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $6.31 Typical High $8.32 | Facility | None | $5.37 | $6.31 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $1.48 Median $3.72 Typical High $7.59 | Professional | None | $1.48 | $3.72 | $7.59 |
DeanCare Setting Facility Modifier None Typical Low $1.95 Median $10.72 Typical High $16.60 | Facility | None | $1.95 | $10.72 | $16.60 |
Medica Setting Facility Modifier None Typical Low $1.74 Median $2.19 Typical High $100.00 | Facility | None | $1.74 | $2.19 | $100.00 |
Medica Setting Professional Modifier None Typical Low $1.29 Median $2.57 Typical High $7.08 | Professional | None | $1.29 | $2.57 | $7.08 |
Network Health Setting Facility Modifier None Typical Low $2.57 Median $3.31 Typical High $6.17 | Facility | None | $2.57 | $3.31 | $6.17 |
Network Health Setting Professional Modifier None Typical Low $1.62 Median $2.19 Typical High $6.17 | Professional | None | $1.62 | $2.19 | $6.17 |
Prevea360 Setting Facility Modifier None Typical Low $1.74 Median $1.95 Typical High $2.75 | Facility | None | $1.74 | $1.95 | $2.75 |
Quartz Setting Professional Modifier None Typical Low $2.63 Median $5.01 Typical High $12.02 | Professional | None | $2.63 | $5.01 | $12.02 |
Quartz Setting Professional Modifier None Typical Low $1.07 Median $1.48 Typical High $5.62 | Professional | None | $1.07 | $1.48 | $5.62 |
Security Health Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $4.57 | Professional | None | $2.24 | $2.24 | $4.57 |
Security Health Setting Professional Modifier None Typical Low $2.24 Median $11.75 Typical High $15.14 | Professional | None | $2.24 | $11.75 | $15.14 |
United Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $6.03 | Facility | None | $2.57 | $2.57 | $6.03 |
United Setting Professional Modifier None Typical Low $1.29 Median $2.19 Typical High $8.13 | Professional | None | $1.29 | $2.19 | $8.13 |
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 $1.29 Median $1.29 Typical High $19.05 | Professional | 52 · Reduced service | $1.29 | $1.29 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.52 Typical High $7.59 | Professional | 53 · Discontinued | $0.52 | $0.52 | $7.59 |
Where Wisconsin sits
The same service costs 3.2 times more in Kansas 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· 9th of 51
$3.09
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.