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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $707.95 | Professional | None | $34.67 | $34.67 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $74.13 Typical High $79.43 | Facility | None | $61.66 | $74.13 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $47.86 Typical High $208.93 | Professional | None | $14.13 | $47.86 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $85.11 Typical High $109.65 | Facility | None | $72.44 | $85.11 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $48.98 Typical High $89.13 | Professional | None | $19.05 | $48.98 | $89.13 |
DeanCare Setting Facility Modifier None Typical Low $25.70 Median $144.54 Typical High $223.87 | Facility | None | $25.70 | $144.54 | $223.87 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $28.84 Typical High $177.83 | Facility | None | $22.91 | $28.84 | $177.83 |
Medica Setting Professional Modifier None Typical Low $17.38 Median $28.84 Typical High $95.50 | Professional | None | $17.38 | $28.84 | $95.50 |
Network Health Setting Facility Modifier None Typical Low $34.67 Median $44.67 Typical High $83.18 | Facility | None | $34.67 | $44.67 | $83.18 |
Network Health Setting Professional Modifier None Typical Low $21.38 Median $29.51 Typical High $81.28 | Professional | None | $21.38 | $29.51 | $81.28 |
Prevea360 Setting Facility Modifier None Typical Low $22.91 Median $25.70 Typical High $37.15 | Facility | None | $22.91 | $25.70 | $37.15 |
Quartz Setting Professional Modifier None Typical Low $31.62 Median $67.61 Typical High $95.50 | Professional | None | $31.62 | $67.61 | $95.50 |
Quartz Setting Professional Modifier None Typical Low $13.80 Median $19.05 Typical High $74.13 | Professional | None | $13.80 | $19.05 | $74.13 |
Security Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $128.82 | Professional | None | $61.66 | $61.66 | $128.82 |
Security Health Setting Professional Modifier None Typical Low $97.72 Median $158.49 Typical High $199.53 | Professional | None | $97.72 | $158.49 | $199.53 |
United Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
United Setting Professional Modifier None Typical Low $14.45 Median $24.55 Typical High $109.65 | Professional | None | $14.45 | $24.55 | $109.65 |
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 $17.38 Median $17.38 Typical High $346.74 | Professional | 52 · Reduced service | $17.38 | $17.38 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $141.25 | Professional | 53 · Discontinued | $6.92 | $6.92 | $141.25 |
Where Wisconsin sits
The same service costs 5.5 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· 8th of 51
$42.66
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.