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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $2,238.72 | Professional | None | $251.19 | $251.19 | $2,238.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $537.03 Typical High $575.44 | Facility | None | $446.68 | $537.03 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $446.68 Typical High $1,513.56 | Professional | None | $102.33 | $446.68 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $602.56 Typical High $794.33 | Facility | None | $524.81 | $602.56 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $575.44 Typical High $645.65 | Professional | None | $100.00 | $575.44 | $645.65 |
DeanCare Setting Facility Modifier None Typical Low $251.19 Median $1,318.26 Typical High $1,778.28 | Facility | None | $251.19 | $1,318.26 | $1,778.28 |
DeanCare Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,380.38 | Professional | None | $1,230.27 | $1,230.27 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $251.19 Typical High $457.09 | Facility | None | $158.49 | $251.19 | $457.09 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $281.84 Typical High $1,047.13 | Professional | None | $125.89 | $281.84 | $1,047.13 |
Network Health Setting Facility Modifier None Typical Low $251.19 Median $323.59 Typical High $323.59 | Facility | None | $251.19 | $323.59 | $323.59 |
Network Health Setting Professional Modifier None Typical Low $208.93 Median $354.81 Typical High $588.84 | Professional | None | $208.93 | $354.81 | $588.84 |
Prevea360 Setting Facility Modifier None Typical Low $158.49 Median $251.19 Typical High $457.09 | Facility | None | $158.49 | $251.19 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $229.09 Median $524.81 Typical High $724.44 | Professional | None | $229.09 | $524.81 | $724.44 |
Quartz Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $537.03 | Professional | None | $100.00 | $128.82 | $537.03 |
Security Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $446.68 | Professional | None | $213.80 | $213.80 | $446.68 |
Security Health Setting Professional Modifier None Typical Low $213.80 Median $831.76 Typical High $1,445.44 | Professional | None | $213.80 | $831.76 | $1,445.44 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
United Setting Professional Modifier None Typical Low $93.33 Median $169.82 Typical High $794.33 | Professional | None | $93.33 | $169.82 | $794.33 |
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 $125.89 Median $125.89 Typical High $1,122.02 | Professional | 52 · Reduced service | $125.89 | $125.89 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $446.68 | Professional | 53 · Discontinued | $50.12 | $50.12 | $446.68 |
Where Wisconsin sits
The same service costs 5.1 times more in California than in Delaware. 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· 5th of 51
$417
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.