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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $2,454.71 | Professional | None | $83.18 | $83.18 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $181.97 Typical High $190.55 | Facility | None | $147.91 | $181.97 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $117.49 Typical High $346.74 | Professional | None | $27.54 | $117.49 | $346.74 |
CareSource Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $269.15 | Facility | None | $173.78 | $204.17 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $181.97 Typical High $218.78 | Professional | None | $37.15 | $181.97 | $218.78 |
DeanCare Setting Facility Modifier None Typical Low $53.70 Median $281.84 Typical High $398.11 | Facility | None | $53.70 | $281.84 | $398.11 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $83.18 Typical High $331.13 | Facility | None | $34.67 | $83.18 | $331.13 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $69.18 Typical High $190.55 | Professional | None | $40.74 | $69.18 | $190.55 |
Network Health Setting Facility Modifier None Typical Low $75.86 Median $83.18 Typical High $199.53 | Facility | None | $75.86 | $83.18 | $199.53 |
Network Health Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $194.98 | Professional | None | $52.48 | $69.18 | $194.98 |
Prevea360 Setting Facility Modifier None Typical Low $34.67 Median $69.18 Typical High $346.74 | Facility | None | $34.67 | $69.18 | $346.74 |
Quartz Setting Professional Modifier None Typical Low $77.62 Median $158.49 Typical High $229.09 | Professional | None | $77.62 | $158.49 | $229.09 |
Quartz Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $181.97 | Professional | None | $33.11 | $33.11 | $181.97 |
Security Health Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Security Health Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $489.78 | Professional | None | $380.19 | $380.19 | $489.78 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $34.67 Median $56.23 Typical High $213.80 | Professional | None | $34.67 | $56.23 | $213.80 |
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 $41.69 Median $41.69 Typical High $1,230.27 | Professional | 52 · Reduced service | $41.69 | $41.69 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $489.78 | Professional | 53 · Discontinued | $16.60 | $16.60 | $489.78 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Georgia. 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
$102
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.