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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $812.83 | Professional | None | $104.71 | $104.71 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $239.88 | Facility | None | $190.55 | $229.09 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $190.55 Typical High $489.78 | Professional | None | $35.48 | $190.55 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $257.04 Typical High $338.84 | Facility | None | $223.87 | $257.04 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $239.88 Typical High $275.42 | Professional | None | $42.66 | $239.88 | $275.42 |
DeanCare Setting Facility Modifier None Typical Low $104.71 Median $416.87 Typical High $562.34 | Facility | None | $104.71 | $416.87 | $562.34 |
DeanCare Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $588.84 | Professional | None | $524.81 | $524.81 | $588.84 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $104.71 Typical High $177.83 | Facility | None | $67.61 | $104.71 | $177.83 |
Medica Setting Professional Modifier None Typical Low $51.29 Median $104.71 Typical High $436.52 | Professional | None | $51.29 | $104.71 | $436.52 |
Network Health Setting Facility Modifier None Typical Low $95.50 Median $104.71 Typical High $251.19 | Facility | None | $95.50 | $104.71 | $251.19 |
Network Health Setting Professional Modifier None Typical Low $89.13 Median $151.36 Typical High $251.19 | Professional | None | $89.13 | $151.36 | $251.19 |
Prevea360 Setting Facility Modifier None Typical Low $67.61 Median $104.71 Typical High $177.83 | Facility | None | $67.61 | $104.71 | $177.83 |
Quartz Setting Professional Modifier None Typical Low $97.72 Median $208.93 Typical High $288.40 | Professional | None | $97.72 | $208.93 | $288.40 |
Quartz Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $229.09 | Professional | None | $42.66 | $44.67 | $229.09 |
Security Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Security Health Setting Professional Modifier None Typical Low $478.63 Median $489.78 Typical High $676.08 | Professional | None | $478.63 | $489.78 | $676.08 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $37.15 Median $61.66 Typical High $269.15 | Professional | None | $37.15 | $61.66 | $269.15 |
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 $52.48 Median $52.48 Typical High $407.38 | Professional | 52 · Reduced service | $52.48 | $52.48 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $162.18 | Professional | 53 · Discontinued | $21.38 | $21.38 | $162.18 |
Where Wisconsin sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$174
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.