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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $812.83 | Professional | None | $181.97 | $181.97 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $389.05 Typical High $416.87 | Facility | None | $323.59 | $389.05 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $323.59 Typical High $831.76 | Professional | None | $60.26 | $323.59 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $436.52 Typical High $575.44 | Facility | None | $380.19 | $436.52 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $416.87 Typical High $467.74 | Professional | None | $72.44 | $416.87 | $467.74 |
DeanCare Setting Facility Modifier None Typical Low $181.97 Median $707.95 Typical High $954.99 | Facility | None | $181.97 | $707.95 | $954.99 |
DeanCare Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,000.00 | Professional | None | $891.25 | $891.25 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $181.97 Typical High $302.00 | Facility | None | $114.82 | $181.97 | $302.00 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $181.97 Typical High $758.58 | Professional | None | $87.10 | $181.97 | $758.58 |
Network Health Setting Facility Modifier None Typical Low $162.18 Median $181.97 Typical High $426.58 | Facility | None | $162.18 | $181.97 | $426.58 |
Network Health Setting Professional Modifier None Typical Low $151.36 Median $257.04 Typical High $426.58 | Professional | None | $151.36 | $257.04 | $426.58 |
Prevea360 Setting Facility Modifier None Typical Low $114.82 Median $181.97 Typical High $302.00 | Facility | None | $114.82 | $181.97 | $302.00 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $354.81 Typical High $501.19 | Professional | None | $165.96 | $354.81 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $72.44 Median $75.86 Typical High $389.05 | Professional | None | $72.44 | $75.86 | $389.05 |
Security Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Security Health Setting Professional Modifier None Typical Low $812.83 Median $831.76 Typical High $1,148.15 | Professional | None | $812.83 | $831.76 | $1,148.15 |
United Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $63.10 Median $104.71 Typical High $467.74 | Professional | None | $63.10 | $104.71 | $467.74 |
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 $91.20 Median $91.20 Typical High $407.38 | Professional | 52 · Reduced service | $91.20 | $91.20 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $162.18 | Professional | 53 · Discontinued | $36.31 | $36.31 | $162.18 |
Where Wisconsin sits
The same service costs 5.4 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· 2nd of 51
$295
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.