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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $1,230.27 | Professional | None | $100.00 | $100.00 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $213.80 Typical High $229.09 | Facility | None | $177.83 | $213.80 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $177.83 Typical High $446.68 | Professional | None | $33.11 | $177.83 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $316.23 | Facility | None | $208.93 | $245.47 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $229.09 Typical High $257.04 | Professional | None | $39.81 | $229.09 | $257.04 |
DeanCare Setting Facility Modifier None Typical Low $100.00 Median $389.05 Typical High $524.81 | Facility | None | $100.00 | $389.05 | $524.81 |
DeanCare Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $549.54 | Professional | None | $501.19 | $501.19 | $549.54 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $100.00 Typical High $165.96 | Facility | None | $64.57 | $100.00 | $165.96 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $95.50 Typical High $416.87 | Professional | None | $45.71 | $95.50 | $416.87 |
Network Health Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $128.82 | Facility | None | $93.33 | $93.33 | $128.82 |
Network Health Setting Professional Modifier None Typical Low $83.18 Median $131.83 Typical High $234.42 | Professional | None | $83.18 | $131.83 | $234.42 |
Prevea360 Setting Facility Modifier None Typical Low $64.57 Median $100.00 Typical High $165.96 | Facility | None | $64.57 | $100.00 | $165.96 |
Quartz Setting Professional Modifier None Typical Low $91.20 Median $194.98 Typical High $275.42 | Professional | None | $91.20 | $194.98 | $275.42 |
Quartz Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $213.80 | Professional | None | $39.81 | $41.69 | $213.80 |
Security Health Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $177.83 | Professional | None | $63.10 | $63.10 | $177.83 |
Security Health Setting Professional Modifier None Typical Low $63.10 Median $245.47 Typical High $575.44 | Professional | None | $63.10 | $245.47 | $575.44 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $257.04 | Professional | None | $34.67 | $50.12 | $257.04 |
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 $50.12 Median $50.12 Typical High $616.60 | Professional | 52 · Reduced service | $50.12 | $50.12 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $245.47 | Professional | 53 · Discontinued | $19.95 | $19.95 | $245.47 |
Where Wisconsin sits
The same service costs 3.4 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· 4th of 51
$148
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.