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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $1,698.24 | Professional | None | $239.88 | $239.88 | $1,698.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $524.81 Typical High $549.54 | Facility | None | $436.52 | $524.81 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $436.52 Typical High $1,479.11 | Professional | None | $100.00 | $436.52 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $588.84 Typical High $776.25 | Facility | None | $501.19 | $588.84 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $549.54 Typical High $630.96 | Professional | None | $95.50 | $549.54 | $630.96 |
DeanCare Setting Facility Modifier None Typical Low $239.88 Median $1,288.25 Typical High $1,737.80 | Facility | None | $239.88 | $1,288.25 | $1,737.80 |
DeanCare Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,348.96 | Professional | None | $1,202.26 | $1,202.26 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $239.88 Typical High $436.52 | Facility | None | $154.88 | $239.88 | $436.52 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $275.42 Typical High $1,000.00 | Professional | None | $120.23 | $275.42 | $1,000.00 |
Network Health Setting Facility Modifier None Typical Low $239.88 Median $309.03 Typical High $309.03 | Facility | None | $239.88 | $309.03 | $309.03 |
Network Health Setting Professional Modifier None Typical Low $199.53 Median $338.84 Typical High $575.44 | Professional | None | $199.53 | $338.84 | $575.44 |
Prevea360 Setting Facility Modifier None Typical Low $154.88 Median $239.88 Typical High $436.52 | Facility | None | $154.88 | $239.88 | $436.52 |
Quartz Setting Professional Modifier None Typical Low $223.87 Median $512.86 Typical High $691.83 | Professional | None | $223.87 | $512.86 | $691.83 |
Quartz Setting Professional Modifier None Typical Low $95.50 Median $125.89 Typical High $524.81 | Professional | None | $95.50 | $125.89 | $524.81 |
Security Health Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $426.58 | Professional | None | $208.93 | $208.93 | $426.58 |
Security Health Setting Professional Modifier None Typical Low $208.93 Median $794.33 Typical High $1,412.54 | Professional | None | $208.93 | $794.33 | $1,412.54 |
United Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
United Setting Professional Modifier None Typical Low $91.20 Median $165.96 Typical High $758.58 | Professional | None | $91.20 | $165.96 | $758.58 |
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 $120.23 Median $120.23 Typical High $851.14 | Professional | 52 · Reduced service | $120.23 | $120.23 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $338.84 | Professional | 53 · Discontinued | $47.86 | $47.86 | $338.84 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in Delaware. 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
$407
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.