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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $1,584.89 | Professional | None | $398.11 | $398.11 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $851.14 Typical High $912.01 | Facility | None | $707.95 | $851.14 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $616.60 Typical High $1,479.11 | Professional | None | $131.83 | $616.60 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $977.24 Typical High $1,288.25 | Facility | None | $831.76 | $977.24 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $912.01 Typical High $1,023.29 | Professional | None | $158.49 | $912.01 | $1,023.29 |
DeanCare Setting Facility Modifier None Typical Low $398.11 Median $870.96 Typical High $1,174.90 | Facility | None | $398.11 | $870.96 | $1,174.90 |
DeanCare Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,187.76 | Professional | None | $1,995.26 | $1,995.26 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $398.11 Typical High $660.69 | Facility | None | $257.04 | $398.11 | $660.69 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $331.13 Typical High $1,659.59 | Professional | None | $109.65 | $331.13 | $1,659.59 |
Network Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $512.86 | Facility | None | $208.93 | $208.93 | $512.86 |
Network Health Setting Professional Modifier None Typical Low $263.03 Median $524.81 Typical High $933.25 | Professional | None | $263.03 | $524.81 | $933.25 |
Prevea360 Setting Facility Modifier None Typical Low $257.04 Median $398.11 Typical High $660.69 | Facility | None | $257.04 | $398.11 | $660.69 |
Quartz Setting Professional Modifier None Typical Low $363.08 Median $776.25 Typical High $1,096.48 | Professional | None | $363.08 | $776.25 | $1,096.48 |
Quartz Setting Professional Modifier None Typical Low $151.36 Median $158.49 Typical High $851.14 | Professional | None | $151.36 | $158.49 | $851.14 |
Security Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $707.95 | Professional | None | $138.04 | $138.04 | $707.95 |
Security Health Setting Professional Modifier None Typical Low $138.04 Median $1,819.70 Typical High $2,290.87 | Professional | None | $138.04 | $1,819.70 | $2,290.87 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $109.65 Median $199.53 Typical High $1,023.29 | Professional | None | $109.65 | $199.53 | $1,023.29 |
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 $199.53 Median $199.53 Typical High $794.33 | Professional | 52 · Reduced service | $199.53 | $199.53 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $316.23 | Professional | 53 · Discontinued | $79.43 | $79.43 | $316.23 |
Where Wisconsin sits
The same service costs 6.5 times more in Texas than in Kentucky. 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
$550
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.