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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $371.54 | Professional | None | $87.10 | $87.10 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $199.53 | Facility | None | $158.49 | $190.55 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $158.49 Typical High $407.38 | Professional | None | $30.20 | $158.49 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $213.80 Typical High $281.84 | Facility | None | $181.97 | $213.80 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $199.53 Typical High $229.09 | Professional | None | $35.48 | $199.53 | $229.09 |
DeanCare Setting Facility Modifier None Typical Low $87.10 Median $354.81 Typical High $478.63 | Facility | None | $87.10 | $354.81 | $478.63 |
DeanCare Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $489.78 | Professional | None | $436.52 | $436.52 | $489.78 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $87.10 Typical High $147.91 | Facility | None | $56.23 | $87.10 | $147.91 |
Medica Setting Professional Modifier None Typical Low $42.66 Median $87.10 Typical High $363.08 | Professional | None | $42.66 | $87.10 | $363.08 |
Network Health Setting Facility Modifier None Typical Low $79.43 Median $87.10 Typical High $208.93 | Facility | None | $79.43 | $87.10 | $208.93 |
Network Health Setting Professional Modifier None Typical Low $74.13 Median $125.89 Typical High $208.93 | Professional | None | $74.13 | $125.89 | $208.93 |
Prevea360 Setting Facility Modifier None Typical Low $56.23 Median $87.10 Typical High $147.91 | Facility | None | $56.23 | $87.10 | $147.91 |
Quartz Setting Professional Modifier None Typical Low $81.28 Median $173.78 Typical High $245.47 | Professional | None | $81.28 | $173.78 | $245.47 |
Quartz Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $190.55 | Professional | None | $34.67 | $38.02 | $190.55 |
Security Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Security Health Setting Professional Modifier None Typical Low $398.11 Median $407.38 Typical High $562.34 | Professional | None | $398.11 | $407.38 | $562.34 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $31.62 Median $46.77 Typical High $234.42 | Professional | None | $31.62 | $46.77 | $234.42 |
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 $43.65 Median $43.65 Typical High $186.21 | Professional | 52 · Reduced service | $43.65 | $43.65 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $74.13 | Professional | 53 · Discontinued | $17.78 | $17.78 | $74.13 |
Where Wisconsin sits
The same service costs 3.8 times more in Alaska 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· 2nd of 51
$145
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.