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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $954.99 | Professional | None | $56.23 | $56.23 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $128.82 | Facility | None | $100.00 | $120.23 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $100.00 Typical High $309.03 | Professional | None | $21.38 | $100.00 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $181.97 | Facility | None | $117.49 | $138.04 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $128.82 Typical High $144.54 | Professional | None | $22.39 | $128.82 | $144.54 |
DeanCare Setting Facility Modifier None Typical Low $56.23 Median $275.42 Typical High $371.54 | Facility | None | $56.23 | $275.42 | $371.54 |
DeanCare Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $309.03 | Professional | None | $281.84 | $281.84 | $309.03 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $56.23 Typical High $93.33 | Facility | None | $35.48 | $56.23 | $93.33 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $58.88 Typical High $234.42 | Professional | None | $28.18 | $58.88 | $234.42 |
Network Health Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $72.44 | Facility | None | $56.23 | $66.07 | $72.44 |
Network Health Setting Professional Modifier None Typical Low $46.77 Median $79.43 Typical High $131.83 | Professional | None | $46.77 | $79.43 | $131.83 |
Prevea360 Setting Facility Modifier None Typical Low $35.48 Median $56.23 Typical High $93.33 | Facility | None | $35.48 | $56.23 | $93.33 |
Quartz Setting Professional Modifier None Typical Low $51.29 Median $112.20 Typical High $162.18 | Professional | None | $51.29 | $112.20 | $162.18 |
Quartz Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $120.23 | Professional | None | $22.39 | $26.92 | $120.23 |
Security Health Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $100.00 | Professional | None | $43.65 | $43.65 | $100.00 |
Security Health Setting Professional Modifier None Typical Low $43.65 Median $257.04 Typical High $323.59 | Professional | None | $43.65 | $257.04 | $323.59 |
United Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
United Setting Professional Modifier None Typical Low $23.44 Median $34.67 Typical High $162.18 | Professional | None | $23.44 | $34.67 | $162.18 |
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 $28.18 Median $28.18 Typical High $478.63 | Professional | 52 · Reduced service | $28.18 | $28.18 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $194.98 | Professional | 53 · Discontinued | $11.22 | $11.22 | $194.98 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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
$95.50
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.