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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $2,290.87 | Professional | None | $363.08 | $363.08 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $794.33 Typical High $831.76 | Facility | None | $660.69 | $794.33 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $660.69 Typical High $1,659.59 | Professional | None | $123.03 | $660.69 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $1,174.90 | Facility | None | $758.58 | $891.25 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $831.76 Typical High $954.99 | Professional | None | $144.54 | $831.76 | $954.99 |
DeanCare Setting Facility Modifier None Typical Low $363.08 Median $1,412.54 Typical High $1,949.84 | Facility | None | $363.08 | $1,412.54 | $1,949.84 |
DeanCare Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,041.74 | Professional | None | $1,819.70 | $1,819.70 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $363.08 Typical High $616.60 | Facility | None | $234.42 | $363.08 | $616.60 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $363.08 Typical High $1,513.56 | Professional | None | $177.83 | $363.08 | $1,513.56 |
Network Health Setting Facility Modifier None Typical Low $331.13 Median $363.08 Typical High $870.96 | Facility | None | $331.13 | $363.08 | $870.96 |
Network Health Setting Professional Modifier None Typical Low $302.00 Median $512.86 Typical High $870.96 | Professional | None | $302.00 | $512.86 | $870.96 |
Prevea360 Setting Facility Modifier None Typical Low $234.42 Median $363.08 Typical High $616.60 | Facility | None | $234.42 | $363.08 | $616.60 |
Quartz Setting Professional Modifier None Typical Low $338.84 Median $724.44 Typical High $1,000.00 | Professional | None | $338.84 | $724.44 | $1,000.00 |
Quartz Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $794.33 | Professional | None | $144.54 | $154.88 | $794.33 |
Security Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Security Health Setting Professional Modifier None Typical Low $1,659.59 Median $1,698.24 Typical High $2,344.23 | Professional | None | $1,659.59 | $1,698.24 | $2,344.23 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
United Setting Professional Modifier None Typical Low $128.82 Median $213.80 Typical High $933.25 | Professional | None | $128.82 | $213.80 | $933.25 |
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 $181.97 Median $181.97 Typical High $1,122.02 | Professional | 52 · Reduced service | $181.97 | $181.97 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $457.09 | Professional | 53 · Discontinued | $72.44 | $72.44 | $457.09 |
Where Wisconsin sits
The same service costs 5.5 times more in Texas than in Alabama. 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
$603
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.