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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $2,398.83 | Professional | None | $234.42 | $234.42 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $501.19 Typical High $537.03 | Facility | None | $416.87 | $501.19 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $323.59 Typical High $1,148.15 | Professional | None | $77.62 | $323.59 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $562.34 Typical High $741.31 | Facility | None | $478.63 | $562.34 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $524.81 Typical High $602.56 | Professional | None | $93.33 | $524.81 | $602.56 |
DeanCare Setting Facility Modifier None Typical Low $234.42 Median $912.01 Typical High $1,230.27 | Facility | None | $234.42 | $912.01 | $1,230.27 |
DeanCare Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,288.25 | Professional | None | $1,148.15 | $1,148.15 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $389.05 | Facility | None | $147.91 | $234.42 | $389.05 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $234.42 Typical High $954.99 | Professional | None | $112.20 | $234.42 | $954.99 |
Network Health Setting Facility Modifier None Typical Low $208.93 Median $234.42 Typical High $549.54 | Facility | None | $208.93 | $234.42 | $549.54 |
Network Health Setting Professional Modifier None Typical Low $194.98 Median $309.03 Typical High $457.09 | Professional | None | $194.98 | $309.03 | $457.09 |
Prevea360 Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $389.05 | Facility | None | $147.91 | $234.42 | $389.05 |
Quartz Setting Professional Modifier None Typical Low $213.80 Median $446.68 Typical High $575.44 | Professional | None | $213.80 | $446.68 | $575.44 |
Quartz Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $501.19 | Professional | None | $91.20 | $100.00 | $501.19 |
Security Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $407.38 | Professional | None | $194.98 | $194.98 | $407.38 |
Security Health Setting Professional Modifier None Typical Low $194.98 Median $691.83 Typical High $1,348.96 | Professional | None | $194.98 | $691.83 | $1,348.96 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $81.28 Median $134.90 Typical High $602.56 | Professional | None | $81.28 | $134.90 | $602.56 |
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 $114.82 Median $114.82 Typical High $1,202.26 | Professional | 52 · Reduced service | $114.82 | $114.82 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $478.63 | Professional | 53 · Discontinued | $46.77 | $46.77 | $478.63 |
Where Wisconsin sits
The same service costs 8.3 times more in Texas 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· 3rd of 51
$316
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.