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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $776.25 | Professional | None | $58.88 | $58.88 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $128.82 Typical High $134.90 | Facility | None | $107.15 | $128.82 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $107.15 Typical High $363.08 | Professional | None | $24.55 | $107.15 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $144.54 Typical High $190.55 | Facility | None | $123.03 | $144.54 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $134.90 Typical High $154.88 | Professional | None | $23.44 | $134.90 | $154.88 |
DeanCare Setting Facility Modifier None Typical Low $58.88 Median $316.23 Typical High $426.58 | Facility | None | $58.88 | $316.23 | $426.58 |
DeanCare Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $331.13 | Professional | None | $295.12 | $295.12 | $331.13 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $58.88 Typical High $107.15 | Facility | None | $38.02 | $58.88 | $107.15 |
Medica Setting Professional Modifier None Typical Low $29.51 Median $67.61 Typical High $245.47 | Professional | None | $29.51 | $67.61 | $245.47 |
Network Health Setting Facility Modifier None Typical Low $58.88 Median $75.86 Typical High $75.86 | Facility | None | $58.88 | $75.86 | $75.86 |
Network Health Setting Professional Modifier None Typical Low $50.12 Median $85.11 Typical High $141.25 | Professional | None | $50.12 | $85.11 | $141.25 |
Prevea360 Setting Facility Modifier None Typical Low $38.02 Median $58.88 Typical High $107.15 | Facility | None | $38.02 | $58.88 | $107.15 |
Quartz Setting Professional Modifier None Typical Low $54.95 Median $125.89 Typical High $169.82 | Professional | None | $54.95 | $125.89 | $169.82 |
Quartz Setting Professional Modifier None Typical Low $23.44 Median $30.90 Typical High $128.82 | Professional | None | $23.44 | $30.90 | $128.82 |
Security Health Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $104.71 | Professional | None | $51.29 | $51.29 | $104.71 |
Security Health Setting Professional Modifier None Typical Low $51.29 Median $199.53 Typical High $346.74 | Professional | None | $51.29 | $199.53 | $346.74 |
United Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $22.39 Median $40.74 Typical High $190.55 | Professional | None | $22.39 | $40.74 | $190.55 |
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 $29.51 Median $29.51 Typical High $389.05 | Professional | 52 · Reduced service | $29.51 | $29.51 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $154.88 | Professional | 53 · Discontinued | $12.02 | $12.02 | $154.88 |
Where Wisconsin sits
The same service costs 5.8 times more in Texas 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· 3rd of 51
$100
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.