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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $691.83 | Professional | None | $64.57 | $64.57 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $141.25 Typical High $147.91 | Facility | None | $117.49 | $141.25 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $91.20 Typical High $275.42 | Professional | None | $21.88 | $91.20 | $275.42 |
CareSource Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $158.49 Typical High $208.93 | Facility | None | $134.90 | $158.49 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $141.25 Typical High $169.82 | Professional | None | $28.84 | $141.25 | $169.82 |
DeanCare Setting Facility Modifier None Typical Low $41.69 Median $218.78 Typical High $346.74 | Facility | None | $41.69 | $218.78 | $346.74 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $64.57 Typical High $257.04 | Facility | None | $26.92 | $64.57 | $257.04 |
Medica Setting Professional Modifier None Typical Low $31.62 Median $53.70 Typical High $151.36 | Professional | None | $31.62 | $53.70 | $151.36 |
Network Health Setting Facility Modifier None Typical Low $58.88 Median $64.57 Typical High $154.88 | Facility | None | $58.88 | $64.57 | $154.88 |
Network Health Setting Professional Modifier None Typical Low $40.74 Median $53.70 Typical High $154.88 | Professional | None | $40.74 | $53.70 | $154.88 |
Prevea360 Setting Facility Modifier None Typical Low $26.92 Median $53.70 Typical High $199.53 | Facility | None | $26.92 | $53.70 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $60.26 Median $123.03 Typical High $177.83 | Professional | None | $60.26 | $123.03 | $177.83 |
Quartz Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $141.25 | Professional | None | $25.70 | $25.70 | $141.25 |
Security Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Security Health Setting Professional Modifier None Typical Low $295.12 Median $302.00 Typical High $380.19 | Professional | None | $295.12 | $302.00 | $380.19 |
United Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
United Setting Professional Modifier None Typical Low $26.92 Median $43.65 Typical High $165.96 | Professional | None | $26.92 | $43.65 | $165.96 |
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 $32.36 Median $32.36 Typical High $338.84 | Professional | 52 · Reduced service | $32.36 | $32.36 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $138.04 | Professional | 53 · Discontinued | $12.88 | $12.88 | $138.04 |
Where Wisconsin sits
The same service costs 5.6 times more in Alaska than in Kentucky. 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
$79.43
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.