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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $1,174.90 | Professional | None | $144.54 | $144.54 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $309.03 Typical High $331.13 | Facility | None | $257.04 | $309.03 | $331.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $257.04 Typical High $660.69 | Professional | None | $47.86 | $257.04 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $354.81 Typical High $457.09 | Facility | None | $302.00 | $354.81 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $331.13 Typical High $371.54 | Professional | None | $57.54 | $331.13 | $371.54 |
DeanCare Setting Facility Modifier None Typical Low $144.54 Median $562.34 Typical High $758.58 | Facility | None | $144.54 | $562.34 | $758.58 |
DeanCare Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $794.33 | Professional | None | $724.44 | $724.44 | $794.33 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $144.54 Typical High $239.88 | Facility | None | $93.33 | $144.54 | $239.88 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $144.54 Typical High $602.56 | Professional | None | $69.18 | $144.54 | $602.56 |
Network Health Setting Facility Modifier None Typical Low $128.82 Median $144.54 Typical High $346.74 | Facility | None | $128.82 | $144.54 | $346.74 |
Network Health Setting Professional Modifier None Typical Low $120.23 Median $204.17 Typical High $338.84 | Professional | None | $120.23 | $204.17 | $338.84 |
Prevea360 Setting Facility Modifier None Typical Low $93.33 Median $144.54 Typical High $239.88 | Facility | None | $93.33 | $144.54 | $239.88 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $281.84 Typical High $398.11 | Professional | None | $131.83 | $281.84 | $398.11 |
Quartz Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $309.03 | Professional | None | $57.54 | $60.26 | $309.03 |
Security Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Security Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $50.12 Median $83.18 Typical High $371.54 | Professional | None | $50.12 | $83.18 | $371.54 |
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 $72.44 Median $72.44 Typical High $588.84 | Professional | 52 · Reduced service | $72.44 | $72.44 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $234.42 | Professional | 53 · Discontinued | $28.84 | $28.84 | $234.42 |
Where Wisconsin sits
The same service costs 5.9 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
$234
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.