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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $912.01 | Professional | None | $61.66 | $61.66 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $134.90 Typical High $141.25 | Facility | None | $109.65 | $134.90 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $109.65 Typical High $281.84 | Professional | None | $56.23 | $109.65 | $281.84 |
CareSource Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | None | $51.29 | $51.29 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $151.36 Typical High $199.53 | Facility | None | $128.82 | $151.36 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $141.25 Typical High $162.18 | Professional | None | $24.55 | $141.25 | $162.18 |
DeanCare Setting Facility Modifier None Typical Low $61.66 Median $239.88 Typical High $323.59 | Facility | None | $61.66 | $239.88 | $323.59 |
DeanCare Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | None | $309.03 | $309.03 | $338.84 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $61.66 Typical High $102.33 | Facility | None | $39.81 | $61.66 | $102.33 |
Medica Setting Professional Modifier None Typical Low $29.51 Median $61.66 Typical High $257.04 | Professional | None | $29.51 | $61.66 | $257.04 |
Network Health Setting Facility Modifier None Typical Low $54.95 Median $61.66 Typical High $147.91 | Facility | None | $54.95 | $61.66 | $147.91 |
Network Health Setting Professional Modifier None Typical Low $51.29 Median $87.10 Typical High $144.54 | Professional | None | $51.29 | $87.10 | $144.54 |
Prevea360 Setting Facility Modifier None Typical Low $39.81 Median $61.66 Typical High $102.33 | Facility | None | $39.81 | $61.66 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $57.54 Median $120.23 Typical High $169.82 | Professional | None | $57.54 | $120.23 | $169.82 |
Quartz Setting Professional Modifier None Typical Low $24.55 Median $26.30 Typical High $134.90 | Professional | None | $24.55 | $26.30 | $134.90 |
Security Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Security Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $389.05 | Professional | None | $281.84 | $281.84 | $389.05 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
United Setting Professional Modifier None Typical Low $21.38 Median $36.31 Typical High $158.49 | Professional | None | $21.38 | $36.31 | $158.49 |
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 $30.90 Median $30.90 Typical High $457.09 | Professional | 52 · Reduced service | $30.90 | $30.90 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $181.97 | Professional | 53 · Discontinued | $12.30 | $12.30 | $181.97 |
Where Wisconsin sits
The same service costs 6.0 times more in California than in Oklahoma. 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
$100
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.