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 $562.34 | Professional | None | $30.90 | $30.90 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $70.79 | Facility | None | $54.95 | $66.07 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $42.66 Typical High $181.97 | Professional | None | $12.30 | $42.66 | $181.97 |
CareSource Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $74.13 Typical High $97.72 | Facility | None | $64.57 | $74.13 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $43.65 Typical High $79.43 | Professional | None | $16.60 | $43.65 | $79.43 |
DeanCare Setting Facility Modifier None Typical Low $22.39 Median $123.03 Typical High $194.98 | Facility | None | $22.39 | $123.03 | $194.98 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $25.12 Typical High $120.23 | Facility | None | $20.42 | $25.12 | $120.23 |
Medica Setting Professional Modifier None Typical Low $14.79 Median $25.70 Typical High $81.28 | Professional | None | $14.79 | $25.70 | $81.28 |
Network Health Setting Facility Modifier None Typical Low $30.90 Median $38.90 Typical High $70.79 | Facility | None | $30.90 | $38.90 | $70.79 |
Network Health Setting Professional Modifier None Typical Low $19.05 Median $26.30 Typical High $72.44 | Professional | None | $19.05 | $26.30 | $72.44 |
Prevea360 Setting Facility Modifier None Typical Low $20.42 Median $22.91 Typical High $32.36 | Facility | None | $20.42 | $22.91 | $32.36 |
Quartz Setting Professional Modifier None Typical Low $28.18 Median $60.26 Typical High $104.71 | Professional | None | $28.18 | $60.26 | $104.71 |
Quartz Setting Professional Modifier None Typical Low $12.30 Median $16.60 Typical High $66.07 | Professional | None | $12.30 | $16.60 | $66.07 |
Security Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $54.95 | Professional | None | $25.70 | $25.70 | $54.95 |
Security Health Setting Professional Modifier None Typical Low $25.70 Median $100.00 Typical High $177.83 | Professional | None | $25.70 | $100.00 | $177.83 |
United Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
United Setting Professional Modifier None Typical Low $12.88 Median $20.89 Typical High $95.50 | Professional | None | $12.88 | $20.89 | $95.50 |
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 $281.84 | Professional | 52 · Reduced service | $15.49 | $15.49 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $112.20 | Professional | 53 · Discontinued | $6.17 | $6.17 | $112.20 |
Where Wisconsin sits
The same service costs 3.1 times more in Alaska 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· 9th of 51
$36.31
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.