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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $426.58 | Professional | None | $70.79 | $70.79 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $151.36 Typical High $162.18 | Facility | None | $125.89 | $151.36 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $125.89 Typical High $323.59 | Professional | None | $23.44 | $125.89 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $169.82 Typical High $223.87 | Facility | None | $147.91 | $169.82 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $162.18 Typical High $181.97 | Professional | None | $28.18 | $162.18 | $181.97 |
DeanCare Setting Facility Modifier None Typical Low $70.79 Median $275.42 Typical High $371.54 | Facility | None | $70.79 | $275.42 | $371.54 |
DeanCare Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $389.05 | Professional | None | $346.74 | $346.74 | $389.05 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $70.79 Typical High $117.49 | Facility | None | $44.67 | $70.79 | $117.49 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $70.79 Typical High $295.12 | Professional | None | $33.88 | $70.79 | $295.12 |
Network Health Setting Facility Modifier None Typical Low $63.10 Median $70.79 Typical High $165.96 | Facility | None | $63.10 | $70.79 | $165.96 |
Network Health Setting Professional Modifier None Typical Low $58.88 Median $100.00 Typical High $165.96 | Professional | None | $58.88 | $100.00 | $165.96 |
Prevea360 Setting Facility Modifier None Typical Low $44.67 Median $70.79 Typical High $117.49 | Facility | None | $44.67 | $70.79 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $64.57 Median $138.04 Typical High $194.98 | Professional | None | $64.57 | $138.04 | $194.98 |
Quartz Setting Professional Modifier None Typical Low $28.18 Median $29.51 Typical High $151.36 | Professional | None | $28.18 | $29.51 | $151.36 |
Security Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Security Health Setting Professional Modifier None Typical Low $316.23 Median $323.59 Typical High $446.68 | Professional | None | $316.23 | $323.59 | $446.68 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier None Typical Low $24.55 Median $40.74 Typical High $181.97 | Professional | None | $24.55 | $40.74 | $181.97 |
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 $35.48 Median $35.48 Typical High $208.93 | Professional | 52 · Reduced service | $35.48 | $35.48 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $85.11 | Professional | 53 · Discontinued | $14.13 | $14.13 | $85.11 |
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· 3rd of 51
$115
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.