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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $467.74 | Professional | None | $56.23 | $56.23 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $123.03 Typical High $128.82 | Facility | None | $102.33 | $123.03 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $102.33 Typical High $257.04 | Professional | None | $19.05 | $102.33 | $257.04 |
CareSource Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $52.48 | Professional | None | $46.77 | $46.77 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $181.97 | Facility | None | $117.49 | $138.04 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $128.82 Typical High $147.91 | Professional | None | $22.39 | $128.82 | $147.91 |
DeanCare Setting Facility Modifier None Typical Low $56.23 Median $218.78 Typical High $302.00 | Facility | None | $56.23 | $218.78 | $302.00 |
DeanCare Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $316.23 | Professional | None | $281.84 | $281.84 | $316.23 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $56.23 Typical High $95.50 | Facility | None | $36.31 | $56.23 | $95.50 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $56.23 Typical High $234.42 | Professional | None | $27.54 | $56.23 | $234.42 |
Network Health Setting Facility Modifier None Typical Low $51.29 Median $56.23 Typical High $134.90 | Facility | None | $51.29 | $56.23 | $134.90 |
Network Health Setting Professional Modifier None Typical Low $46.77 Median $79.43 Typical High $134.90 | Professional | None | $46.77 | $79.43 | $134.90 |
Prevea360 Setting Facility Modifier None Typical Low $36.31 Median $56.23 Typical High $95.50 | Facility | None | $36.31 | $56.23 | $95.50 |
Quartz Setting Professional Modifier None Typical Low $52.48 Median $109.65 Typical High $154.88 | Professional | None | $52.48 | $109.65 | $154.88 |
Quartz Setting Professional Modifier None Typical Low $22.39 Median $23.99 Typical High $123.03 | Professional | None | $22.39 | $23.99 | $123.03 |
Security Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Security Health Setting Professional Modifier None Typical Low $257.04 Median $263.03 Typical High $363.08 | Professional | None | $257.04 | $263.03 | $363.08 |
United Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
United Setting Professional Modifier None Typical Low $19.95 Median $33.11 Typical High $144.54 | Professional | None | $19.95 | $33.11 | $144.54 |
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 $28.18 Median $28.18 Typical High $234.42 | Professional | 52 · Reduced service | $28.18 | $28.18 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $93.33 | Professional | 53 · Discontinued | $11.22 | $11.22 | $93.33 |
Where Wisconsin sits
The same service costs 5.8 times more in Kansas than in Oklahoma. 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· 5th of 51
$91.20
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.