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 $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $346.74 | Professional | None | $30.90 | $30.90 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $67.61 Typical High $70.79 | Facility | None | $54.95 | $67.61 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $43.65 Typical High $186.21 | Professional | None | $12.88 | $43.65 | $186.21 |
CareSource Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $75.86 Typical High $100.00 | Facility | None | $64.57 | $75.86 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $44.67 Typical High $81.28 | Professional | None | $16.98 | $44.67 | $81.28 |
DeanCare Setting Facility Modifier None Typical Low $22.91 Median $128.82 Typical High $199.53 | Facility | None | $22.91 | $128.82 | $199.53 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $25.70 Typical High $128.82 | Facility | None | $20.42 | $25.70 | $128.82 |
Medica Setting Professional Modifier None Typical Low $15.14 Median $25.70 Typical High $85.11 | Professional | None | $15.14 | $25.70 | $85.11 |
Network Health Setting Facility Modifier None Typical Low $30.90 Median $39.81 Typical High $74.13 | Facility | None | $30.90 | $39.81 | $74.13 |
Network Health Setting Professional Modifier None Typical Low $19.50 Median $26.30 Typical High $72.44 | Professional | None | $19.50 | $26.30 | $72.44 |
Prevea360 Setting Facility Modifier None Typical Low $20.42 Median $23.44 Typical High $33.11 | Facility | None | $20.42 | $23.44 | $33.11 |
Quartz Setting Professional Modifier None Typical Low $28.84 Median $60.26 Typical High $107.15 | Professional | None | $28.84 | $60.26 | $107.15 |
Quartz Setting Professional Modifier None Typical Low $12.30 Median $16.98 Typical High $67.61 | Professional | None | $12.30 | $16.98 | $67.61 |
Security Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $54.95 | Professional | None | $26.30 | $26.30 | $54.95 |
Security Health Setting Professional Modifier None Typical Low $26.30 Median $97.72 Typical High $181.97 | Professional | None | $26.30 | $97.72 | $181.97 |
United Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $75.86 | Facility | None | $30.90 | $30.90 | $75.86 |
United Setting Professional Modifier None Typical Low $12.88 Median $21.88 Typical High $97.72 | Professional | None | $12.88 | $21.88 | $97.72 |
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 $15.49 Median $15.49 Typical High $173.78 | Professional | 52 · Reduced service | $15.49 | $15.49 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $69.18 | Professional | 53 · Discontinued | $6.17 | $6.17 | $69.18 |
Where Wisconsin sits
The same service costs 4.0 times more in Kansas 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· 6th of 51
$37.15
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.