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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $870.96 | Professional | None | $151.36 | $151.36 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $331.13 Typical High $346.74 | Facility | None | $275.42 | $331.13 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $275.42 Typical High $812.83 | Professional | None | $54.95 | $275.42 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $371.54 Typical High $489.78 | Facility | None | $323.59 | $371.54 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $346.74 Typical High $398.11 | Professional | None | $61.66 | $346.74 | $398.11 |
DeanCare Setting Facility Modifier None Typical Low $151.36 Median $707.95 Typical High $954.99 | Facility | None | $151.36 | $707.95 | $954.99 |
DeanCare Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $851.14 | Professional | None | $758.58 | $758.58 | $851.14 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $151.36 Typical High $257.04 | Facility | None | $97.72 | $151.36 | $257.04 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $151.36 Typical High $630.96 | Professional | None | $75.86 | $151.36 | $630.96 |
Network Health Setting Facility Modifier None Typical Low $151.36 Median $173.78 Typical High $194.98 | Facility | None | $151.36 | $173.78 | $194.98 |
Network Health Setting Professional Modifier None Typical Low $128.82 Median $213.80 Typical High $363.08 | Professional | None | $128.82 | $213.80 | $363.08 |
Prevea360 Setting Facility Modifier None Typical Low $97.72 Median $151.36 Typical High $257.04 | Facility | None | $97.72 | $151.36 | $257.04 |
Quartz Setting Professional Modifier None Typical Low $141.25 Median $302.00 Typical High $436.52 | Professional | None | $141.25 | $302.00 | $436.52 |
Quartz Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $331.13 | Professional | None | $61.66 | $69.18 | $331.13 |
Security Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $269.15 | Professional | None | $114.82 | $114.82 | $269.15 |
Security Health Setting Professional Modifier None Typical Low $114.82 Median $691.83 Typical High $891.25 | Professional | None | $114.82 | $691.83 | $891.25 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $426.58 | Professional | None | $63.10 | $91.20 | $426.58 |
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 $75.86 Median $75.86 Typical High $436.52 | Professional | 52 · Reduced service | $75.86 | $75.86 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $173.78 | Professional | 53 · Discontinued | $30.90 | $30.90 | $173.78 |
Where Wisconsin sits
The same service costs 4.6 times more in Alaska than in Alabama. 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· 4th of 51
$251
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.