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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $891.25 | Professional | None | $199.53 | $199.53 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $426.58 Typical High $457.09 | Facility | None | $354.81 | $426.58 | $457.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $354.81 Typical High $891.25 | Professional | None | $66.07 | $354.81 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $489.78 Typical High $630.96 | Facility | None | $416.87 | $489.78 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $457.09 Typical High $512.86 | Professional | None | $79.43 | $457.09 | $512.86 |
DeanCare Setting Facility Modifier None Typical Low $199.53 Median $776.25 Typical High $1,047.13 | Facility | None | $199.53 | $776.25 | $1,047.13 |
DeanCare Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,096.48 | Professional | None | $1,000.00 | $1,000.00 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $331.13 | Facility | None | $128.82 | $199.53 | $331.13 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $190.55 Typical High $831.76 | Professional | None | $95.50 | $190.55 | $831.76 |
Network Health Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $257.04 | Facility | None | $186.21 | $186.21 | $257.04 |
Network Health Setting Professional Modifier None Typical Low $165.96 Median $263.03 Typical High $467.74 | Professional | None | $165.96 | $263.03 | $467.74 |
Prevea360 Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $331.13 | Facility | None | $128.82 | $199.53 | $331.13 |
Quartz Setting Professional Modifier None Typical Low $181.97 Median $389.05 Typical High $549.54 | Professional | None | $181.97 | $389.05 | $549.54 |
Quartz Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $426.58 | Professional | None | $79.43 | $83.18 | $426.58 |
Security Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $354.81 | Professional | None | $125.89 | $125.89 | $354.81 |
Security Health Setting Professional Modifier None Typical Low $125.89 Median $912.01 Typical High $1,148.15 | Professional | None | $125.89 | $912.01 | $1,148.15 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
United Setting Professional Modifier None Typical Low $69.18 Median $107.15 Typical High $512.86 | Professional | None | $69.18 | $107.15 | $512.86 |
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 $100.00 Median $100.00 Typical High $446.68 | Professional | 52 · Reduced service | $100.00 | $100.00 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $177.83 | Professional | 53 · Discontinued | $39.81 | $39.81 | $177.83 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$309
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.