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 $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $346.74 | Professional | None | $14.79 | $14.79 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $31.62 Typical High $33.88 | Facility | None | $26.30 | $31.62 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $20.42 Typical High $81.28 | Professional | None | $5.50 | $20.42 | $81.28 |
CareSource Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $35.48 Typical High $46.77 | Facility | None | $30.90 | $35.48 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $20.89 Typical High $38.02 | Professional | None | $7.41 | $20.89 | $38.02 |
DeanCare Setting Facility Modifier None Typical Low $10.00 Median $54.95 Typical High $87.10 | Facility | None | $10.00 | $54.95 | $87.10 |
Medica Setting Facility Modifier None Typical Low $9.77 Median $11.48 Typical High $100.00 | Facility | None | $9.77 | $11.48 | $100.00 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $12.30 Typical High $36.31 | Professional | None | $7.41 | $12.30 | $36.31 |
Network Health Setting Facility Modifier None Typical Low $14.79 Median $17.38 Typical High $31.62 | Facility | None | $14.79 | $17.38 | $31.62 |
Network Health Setting Professional Modifier None Typical Low $9.12 Median $12.59 Typical High $34.67 | Professional | None | $9.12 | $12.59 | $34.67 |
Prevea360 Setting Facility Modifier None Typical Low $9.77 Median $10.72 Typical High $15.85 | Facility | None | $9.77 | $10.72 | $15.85 |
Quartz Setting Professional Modifier None Typical Low $13.80 Median $29.51 Typical High $46.77 | Professional | None | $13.80 | $29.51 | $46.77 |
Quartz Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $31.62 | Professional | None | $5.89 | $7.41 | $31.62 |
Security Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $97.72 | Professional | None | $26.30 | $26.30 | $97.72 |
Security Health Setting Professional Modifier None Typical Low $46.77 Median $75.86 Typical High $97.72 | Professional | None | $46.77 | $75.86 | $97.72 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $39.81 | Facility | None | $14.79 | $14.79 | $39.81 |
United Setting Professional Modifier None Typical Low $6.17 Median $10.72 Typical High $42.66 | Professional | None | $6.17 | $10.72 | $42.66 |
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 $7.41 Median $7.41 Typical High $173.78 | Professional | 52 · Reduced service | $7.41 | $7.41 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $69.18 | Professional | 53 · Discontinued | $2.95 | $2.95 | $69.18 |
Where Wisconsin sits
The same service costs 3.5 times more in Kansas than in Nebraska. 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· 8th of 51
$17.78
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.