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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $457.09 | Professional | None | $114.82 | $114.82 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $245.47 Typical High $263.03 | Facility | None | $204.17 | $245.47 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $204.17 Typical High $524.81 | Professional | None | $38.02 | $204.17 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $281.84 Typical High $363.08 | Facility | None | $239.88 | $281.84 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $263.03 Typical High $295.12 | Professional | None | $45.71 | $263.03 | $295.12 |
DeanCare Setting Facility Modifier None Typical Low $114.82 Median $446.68 Typical High $602.56 | Facility | None | $114.82 | $446.68 | $602.56 |
DeanCare Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $630.96 | Professional | None | $575.44 | $575.44 | $630.96 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $114.82 Typical High $190.55 | Facility | None | $72.44 | $114.82 | $190.55 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $114.82 Typical High $478.63 | Professional | None | $54.95 | $114.82 | $478.63 |
Network Health Setting Facility Modifier None Typical Low $102.33 Median $114.82 Typical High $275.42 | Facility | None | $102.33 | $114.82 | $275.42 |
Network Health Setting Professional Modifier None Typical Low $95.50 Median $162.18 Typical High $269.15 | Professional | None | $95.50 | $162.18 | $269.15 |
Prevea360 Setting Facility Modifier None Typical Low $72.44 Median $114.82 Typical High $190.55 | Facility | None | $72.44 | $114.82 | $190.55 |
Quartz Setting Professional Modifier None Typical Low $104.71 Median $223.87 Typical High $316.23 | Professional | None | $104.71 | $223.87 | $316.23 |
Quartz Setting Professional Modifier None Typical Low $45.71 Median $47.86 Typical High $245.47 | Professional | None | $45.71 | $47.86 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Security Health Setting Professional Modifier None Typical Low $512.86 Median $524.81 Typical High $724.44 | Professional | None | $512.86 | $524.81 | $724.44 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
United Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $295.12 | Professional | None | $39.81 | $66.07 | $295.12 |
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 $57.54 Median $57.54 Typical High $229.09 | Professional | 52 · Reduced service | $57.54 | $57.54 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $91.20 | Professional | 53 · Discontinued | $22.91 | $22.91 | $91.20 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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
$186
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.