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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $891.25 | Professional | None | $245.47 | $245.47 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $524.81 Typical High $562.34 | Facility | None | $436.52 | $524.81 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $426.58 Typical High $1,071.52 | Professional | None | $81.28 | $426.58 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $588.84 Typical High $776.25 | Facility | None | $512.86 | $588.84 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $562.34 Typical High $630.96 | Professional | None | $97.72 | $562.34 | $630.96 |
DeanCare Setting Facility Modifier None Typical Low $154.88 Median $245.47 Typical High $407.38 | Facility | None | $154.88 | $245.47 | $407.38 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $245.47 Typical High $407.38 | Facility | None | $154.88 | $245.47 | $407.38 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $234.42 Typical High $1,023.29 | Professional | None | $114.82 | $234.42 | $1,023.29 |
Network Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $309.03 | Facility | None | $213.80 | $213.80 | $309.03 |
Network Health Setting Professional Modifier None Typical Low $204.17 Median $323.59 Typical High $575.44 | Professional | None | $204.17 | $323.59 | $575.44 |
Prevea360 Setting Facility Modifier None Typical Low $154.88 Median $245.47 Typical High $407.38 | Facility | None | $154.88 | $245.47 | $407.38 |
Quartz Setting Professional Modifier None Typical Low $223.87 Median $478.63 Typical High $676.08 | Professional | None | $223.87 | $478.63 | $676.08 |
Quartz Setting Professional Modifier None Typical Low $97.72 Median $102.33 Typical High $524.81 | Professional | None | $97.72 | $102.33 | $524.81 |
Security Health Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $426.58 | Professional | None | $144.54 | $144.54 | $426.58 |
Security Health Setting Professional Modifier None Typical Low $144.54 Median $588.84 Typical High $1,412.54 | Professional | None | $144.54 | $588.84 | $1,412.54 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
United Setting Professional Modifier None Typical Low $85.11 Median $128.82 Typical High $630.96 | Professional | None | $85.11 | $128.82 | $630.96 |
3 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 $120.23 Median $120.23 Typical High $446.68 | Professional | 52 · Reduced service | $120.23 | $120.23 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $181.97 | Professional | 53 · Discontinued | $48.98 | $48.98 | $181.97 |
DeanCare Setting Professional Modifier 59 · Distinct service Typical Low $1,202.26 Median $1,202.26 Typical High $1,348.96 | Professional | 59 · Distinct service | $1,202.26 | $1,202.26 | $1,348.96 |
Where Wisconsin sits
The same service costs 3.5 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· 4th of 51
$339
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.