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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $562.34 | Professional | None | $147.91 | $147.91 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $316.23 Typical High $338.84 | Facility | None | $263.03 | $316.23 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $263.03 Typical High $758.58 | Professional | None | $60.26 | $263.03 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $354.81 Typical High $467.74 | Facility | None | $309.03 | $354.81 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $338.84 Typical High $380.19 | Professional | None | $61.66 | $338.84 | $380.19 |
DeanCare Setting Facility Modifier None Typical Low $147.91 Median $707.95 Typical High $954.99 | Facility | None | $147.91 | $707.95 | $954.99 |
DeanCare Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $812.83 | Professional | None | $724.44 | $724.44 | $812.83 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $147.91 Typical High $269.15 | Facility | None | $93.33 | $147.91 | $269.15 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $151.36 Typical High $616.60 | Professional | None | $74.13 | $151.36 | $616.60 |
Network Health Setting Facility Modifier None Typical Low $131.83 Median $147.91 Typical High $346.74 | Facility | None | $131.83 | $147.91 | $346.74 |
Network Health Setting Professional Modifier None Typical Low $123.03 Median $208.93 Typical High $346.74 | Professional | None | $123.03 | $208.93 | $346.74 |
Prevea360 Setting Facility Modifier None Typical Low $93.33 Median $147.91 Typical High $269.15 | Facility | None | $93.33 | $147.91 | $269.15 |
Quartz Setting Professional Modifier None Typical Low $134.90 Median $288.40 Typical High $426.58 | Professional | None | $134.90 | $288.40 | $426.58 |
Quartz Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $316.23 | Professional | None | $58.88 | $75.86 | $316.23 |
Security Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Security Health Setting Professional Modifier None Typical Low $660.69 Median $676.08 Typical High $933.25 | Professional | None | $660.69 | $676.08 | $933.25 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $54.95 Median $91.20 Typical High $467.74 | Professional | None | $54.95 | $91.20 | $467.74 |
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 $74.13 Median $74.13 Typical High $275.42 | Professional | 52 · Reduced service | $74.13 | $74.13 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $112.20 | Professional | 53 · Discontinued | $29.51 | $29.51 | $112.20 |
Where Wisconsin sits
The same service costs 4.4 times more in Alaska 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· 2nd of 51
$251
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.