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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $870.96 | Professional | None | $173.78 | $173.78 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $380.19 Typical High $398.11 | Facility | None | $309.03 | $380.19 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $309.03 Typical High $1,047.13 | Professional | None | $70.79 | $309.03 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $426.58 Typical High $562.34 | Facility | None | $363.08 | $426.58 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $398.11 Typical High $457.09 | Professional | None | $69.18 | $398.11 | $457.09 |
DeanCare Setting Facility Modifier None Typical Low $173.78 Median $933.25 Typical High $1,258.93 | Facility | None | $173.78 | $933.25 | $1,258.93 |
DeanCare Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $954.99 | Professional | None | $870.96 | $870.96 | $954.99 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $173.78 Typical High $316.23 | Facility | None | $131.83 | $173.78 | $316.23 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $199.53 Typical High $724.44 | Professional | None | $87.10 | $199.53 | $724.44 |
Network Health Setting Facility Modifier None Typical Low $173.78 Median $223.87 Typical High $223.87 | Facility | None | $173.78 | $223.87 | $223.87 |
Network Health Setting Professional Modifier None Typical Low $144.54 Median $245.47 Typical High $407.38 | Professional | None | $144.54 | $245.47 | $407.38 |
Prevea360 Setting Facility Modifier None Typical Low $112.20 Median $173.78 Typical High $316.23 | Facility | None | $112.20 | $173.78 | $316.23 |
Quartz Setting Professional Modifier None Typical Low $162.18 Median $363.08 Typical High $501.19 | Professional | None | $162.18 | $363.08 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $380.19 | Professional | None | $69.18 | $91.20 | $380.19 |
Security Health Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $309.03 | Professional | None | $147.91 | $147.91 | $309.03 |
Security Health Setting Professional Modifier None Typical Low $147.91 Median $575.44 Typical High $1,023.29 | Professional | None | $147.91 | $575.44 | $1,023.29 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $64.57 Median $117.49 Typical High $549.54 | Professional | None | $64.57 | $117.49 | $549.54 |
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 $87.10 Median $87.10 Typical High $436.52 | Professional | 52 · Reduced service | $87.10 | $87.10 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $173.78 | Professional | 53 · Discontinued | $34.67 | $34.67 | $173.78 |
Where Wisconsin sits
The same service costs 4.9 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
$288
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.