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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $416.87 | Professional | None | $46.77 | $46.77 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $102.33 Typical High $107.15 | Facility | None | $85.11 | $102.33 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $85.11 Typical High $213.80 | Professional | None | $15.85 | $85.11 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $114.82 Typical High $151.36 | Facility | None | $100.00 | $114.82 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $107.15 Typical High $123.03 | Professional | None | $19.05 | $107.15 | $123.03 |
DeanCare Setting Facility Modifier None Typical Low $46.77 Median $186.21 Typical High $251.19 | Facility | None | $46.77 | $186.21 | $251.19 |
DeanCare Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $263.03 | Professional | None | $234.42 | $234.42 | $263.03 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $46.77 Typical High $79.43 | Facility | None | $30.20 | $46.77 | $79.43 |
Medica Setting Professional Modifier None Typical Low $22.91 Median $46.77 Typical High $194.98 | Professional | None | $22.91 | $46.77 | $194.98 |
Network Health Setting Facility Modifier None Typical Low $42.66 Median $46.77 Typical High $112.20 | Facility | None | $42.66 | $46.77 | $112.20 |
Network Health Setting Professional Modifier None Typical Low $38.90 Median $66.07 Typical High $112.20 | Professional | None | $38.90 | $66.07 | $112.20 |
Prevea360 Setting Facility Modifier None Typical Low $30.20 Median $46.77 Typical High $79.43 | Facility | None | $30.20 | $46.77 | $79.43 |
Quartz Setting Professional Modifier None Typical Low $43.65 Median $93.33 Typical High $128.82 | Professional | None | $43.65 | $93.33 | $128.82 |
Quartz Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $102.33 | Professional | None | $19.05 | $19.95 | $102.33 |
Security Health Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Security Health Setting Professional Modifier None Typical Low $213.80 Median $218.78 Typical High $302.00 | Professional | None | $213.80 | $218.78 | $302.00 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $16.60 Median $27.54 Typical High $120.23 | Professional | None | $16.60 | $27.54 | $120.23 |
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 $23.44 Median $23.44 Typical High $208.93 | Professional | 52 · Reduced service | $23.44 | $23.44 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $83.18 | Professional | 53 · Discontinued | $9.33 | $9.33 | $83.18 |
Where Wisconsin sits
The same service costs 3.5 times more in Alaska than in Nebraska. 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
$77.62
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.