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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $1,122.02 | Professional | None | $151.36 | $151.36 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $323.59 Typical High $346.74 | Facility | None | $269.15 | $323.59 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $269.15 Typical High $660.69 | Professional | None | $50.12 | $269.15 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $363.08 Typical High $478.63 | Facility | None | $316.23 | $363.08 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $346.74 Typical High $389.05 | Professional | None | $60.26 | $346.74 | $389.05 |
DeanCare Setting Facility Modifier None Typical Low $151.36 Median $588.84 Typical High $794.33 | Facility | None | $151.36 | $588.84 | $794.33 |
DeanCare Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $831.76 | Professional | None | $741.31 | $741.31 | $831.76 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $151.36 Typical High $251.19 | Facility | None | $95.50 | $151.36 | $251.19 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $151.36 Typical High $630.96 | Professional | None | $72.44 | $151.36 | $630.96 |
Network Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $190.55 | Facility | None | $141.25 | $141.25 | $190.55 |
Network Health Setting Professional Modifier None Typical Low $125.89 Median $199.53 Typical High $354.81 | Professional | None | $125.89 | $199.53 | $354.81 |
Prevea360 Setting Facility Modifier None Typical Low $95.50 Median $151.36 Typical High $251.19 | Facility | None | $95.50 | $151.36 | $251.19 |
Quartz Setting Professional Modifier None Typical Low $138.04 Median $295.12 Typical High $416.87 | Professional | None | $138.04 | $295.12 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $323.59 | Professional | None | $57.54 | $63.10 | $323.59 |
Security Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $263.03 | Professional | None | $93.33 | $93.33 | $263.03 |
Security Health Setting Professional Modifier None Typical Low $93.33 Median $363.08 Typical High $870.96 | Professional | None | $93.33 | $363.08 | $870.96 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $52.48 Median $87.10 Typical High $389.05 | Professional | None | $52.48 | $87.10 | $389.05 |
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 $74.13 Median $74.13 Typical High $562.34 | Professional | 52 · Reduced service | $74.13 | $74.13 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $223.87 | Professional | 53 · Discontinued | $30.20 | $30.20 | $223.87 |
Where Wisconsin sits
The same service costs 4.5 times more in Alaska 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
$219
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.