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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $602.56 | Professional | None | $41.69 | $41.69 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $91.20 Typical High $95.50 | Facility | None | $75.86 | $91.20 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $75.86 Typical High $190.55 | Professional | None | $14.13 | $75.86 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $102.33 Typical High $134.90 | Facility | None | $87.10 | $102.33 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $95.50 Typical High $109.65 | Professional | None | $16.60 | $95.50 | $109.65 |
DeanCare Setting Facility Modifier None Typical Low $41.69 Median $162.18 Typical High $223.87 | Facility | None | $41.69 | $162.18 | $223.87 |
DeanCare Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $234.42 | Professional | None | $208.93 | $208.93 | $234.42 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $41.69 Typical High $70.79 | Facility | None | $26.92 | $41.69 | $70.79 |
Medica Setting Professional Modifier None Typical Low $20.42 Median $41.69 Typical High $173.78 | Professional | None | $20.42 | $41.69 | $173.78 |
Network Health Setting Facility Modifier None Typical Low $38.02 Median $41.69 Typical High $100.00 | Facility | None | $38.02 | $41.69 | $100.00 |
Network Health Setting Professional Modifier None Typical Low $34.67 Median $58.88 Typical High $100.00 | Professional | None | $34.67 | $58.88 | $100.00 |
Prevea360 Setting Facility Modifier None Typical Low $26.92 Median $41.69 Typical High $70.79 | Facility | None | $26.92 | $41.69 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $38.90 Median $83.18 Typical High $114.82 | Professional | None | $38.90 | $83.18 | $114.82 |
Quartz Setting Professional Modifier None Typical Low $16.60 Median $17.78 Typical High $91.20 | Professional | None | $16.60 | $17.78 | $91.20 |
Security Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Security Health Setting Professional Modifier None Typical Low $190.55 Median $194.98 Typical High $269.15 | Professional | None | $190.55 | $194.98 | $269.15 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $14.79 Median $24.55 Typical High $107.15 | Professional | None | $14.79 | $24.55 | $107.15 |
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 $20.89 Median $20.89 Typical High $302.00 | Professional | 52 · Reduced service | $20.89 | $20.89 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $120.23 | Professional | 53 · Discontinued | $8.32 | $8.32 | $120.23 |
Where Wisconsin sits
The same service costs 3.8 times more in Alaska than in New Mexico. 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
$69.18
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.