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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $1,288.25 | Professional | None | $165.96 | $165.96 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $354.81 Typical High $380.19 | Facility | None | $295.12 | $354.81 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $229.09 Typical High $831.76 | Professional | None | $54.95 | $229.09 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $398.11 Typical High $524.81 | Facility | None | $346.74 | $398.11 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $380.19 Typical High $426.58 | Professional | None | $66.07 | $380.19 | $426.58 |
DeanCare Setting Facility Modifier None Typical Low $165.96 Median $645.65 Typical High $870.96 | Facility | None | $165.96 | $645.65 | $870.96 |
DeanCare Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $912.01 | Professional | None | $812.83 | $812.83 | $912.01 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $165.96 Typical High $275.42 | Facility | None | $104.71 | $165.96 | $275.42 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $165.96 Typical High $691.83 | Professional | None | $79.43 | $165.96 | $691.83 |
Network Health Setting Facility Modifier None Typical Low $147.91 Median $165.96 Typical High $389.05 | Facility | None | $147.91 | $165.96 | $389.05 |
Network Health Setting Professional Modifier None Typical Low $138.04 Median $234.42 Typical High $389.05 | Professional | None | $138.04 | $234.42 | $389.05 |
Prevea360 Setting Facility Modifier None Typical Low $104.71 Median $165.96 Typical High $275.42 | Facility | None | $104.71 | $165.96 | $275.42 |
Quartz Setting Professional Modifier None Typical Low $151.36 Median $316.23 Typical High $407.38 | Professional | None | $151.36 | $316.23 | $407.38 |
Quartz Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $354.81 | Professional | None | $61.66 | $69.18 | $354.81 |
Security Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $295.12 | Professional | None | $138.04 | $138.04 | $295.12 |
Security Health Setting Professional Modifier None Typical Low $138.04 Median $741.31 Typical High $954.99 | Professional | None | $138.04 | $741.31 | $954.99 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $57.54 Median $95.50 Typical High $426.58 | Professional | None | $57.54 | $95.50 | $426.58 |
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 $81.28 Median $81.28 Typical High $645.65 | Professional | 52 · Reduced service | $81.28 | $81.28 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $257.04 | Professional | 53 · Discontinued | $33.11 | $33.11 | $257.04 |
Where Wisconsin sits
The same service costs 5.2 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
$229
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.