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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $851.14 | Professional | None | $77.62 | $77.62 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $165.96 Typical High $177.83 | Facility | None | $138.04 | $165.96 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $138.04 Typical High $354.81 | Professional | None | $25.70 | $138.04 | $354.81 |
CareSource Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $70.79 | Professional | None | $64.57 | $64.57 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $186.21 Typical High $245.47 | Facility | None | $162.18 | $186.21 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $173.78 Typical High $199.53 | Professional | None | $30.90 | $173.78 | $199.53 |
DeanCare Setting Facility Modifier None Typical Low $77.62 Median $302.00 Typical High $407.38 | Facility | None | $77.62 | $302.00 | $407.38 |
DeanCare Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $426.58 | Professional | None | $380.19 | $380.19 | $426.58 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $77.62 Typical High $128.82 | Facility | None | $48.98 | $77.62 | $128.82 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $77.62 Typical High $316.23 | Professional | None | $37.15 | $77.62 | $316.23 |
Network Health Setting Facility Modifier None Typical Low $69.18 Median $77.62 Typical High $181.97 | Facility | None | $69.18 | $77.62 | $181.97 |
Network Health Setting Professional Modifier None Typical Low $64.57 Median $109.65 Typical High $181.97 | Professional | None | $64.57 | $109.65 | $181.97 |
Prevea360 Setting Facility Modifier None Typical Low $48.98 Median $77.62 Typical High $128.82 | Facility | None | $48.98 | $77.62 | $128.82 |
Quartz Setting Professional Modifier None Typical Low $70.79 Median $151.36 Typical High $208.93 | Professional | None | $70.79 | $151.36 | $208.93 |
Quartz Setting Professional Modifier None Typical Low $30.90 Median $32.36 Typical High $165.96 | Professional | None | $30.90 | $32.36 | $165.96 |
Security Health Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Security Health Setting Professional Modifier None Typical Low $346.74 Median $354.81 Typical High $489.78 | Professional | None | $346.74 | $354.81 | $489.78 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $26.92 Median $44.67 Typical High $194.98 | Professional | None | $26.92 | $44.67 | $194.98 |
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 $38.02 Median $38.02 Typical High $436.52 | Professional | 52 · Reduced service | $38.02 | $38.02 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $173.78 | Professional | 53 · Discontinued | $15.49 | $15.49 | $173.78 |
Where Wisconsin sits
The same service costs 3.4 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
$123
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.