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 $23.99 Median $25.12 Typical High $32.36 | Facility | None | $23.99 | $25.12 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $25.12 Typical High $125.89 | Professional | None | $17.78 | $25.12 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $54.95 Typical High $57.54 | Facility | None | $45.71 | $54.95 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $35.48 Typical High $112.20 | Professional | None | $8.51 | $35.48 | $112.20 |
CareSource Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
CareSource Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $61.66 Typical High $81.28 | Facility | None | $53.70 | $61.66 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $36.31 Typical High $66.07 | Professional | None | $10.23 | $36.31 | $66.07 |
DeanCare Setting Facility Modifier None Typical Low $13.80 Median $77.62 Typical High $120.23 | Facility | None | $13.80 | $77.62 | $120.23 |
Medica Setting Facility Modifier None Typical Low $13.80 Median $25.12 Typical High $100.00 | Facility | None | $13.80 | $25.12 | $100.00 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $20.89 Typical High $58.88 | Professional | None | $12.30 | $20.89 | $58.88 |
Network Health Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $44.67 | Facility | None | $23.99 | $23.99 | $44.67 |
Network Health Setting Professional Modifier None Typical Low $15.85 Median $21.38 Typical High $60.26 | Professional | None | $15.85 | $21.38 | $60.26 |
Prevea360 Setting Facility Modifier None Typical Low $13.80 Median $17.38 Typical High $26.92 | Facility | None | $13.80 | $17.38 | $26.92 |
Quartz Setting Professional Modifier None Typical Low $23.44 Median $50.12 Typical High $70.79 | Professional | None | $23.44 | $50.12 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $10.00 Median $10.23 Typical High $54.95 | Professional | None | $10.00 | $10.23 | $54.95 |
Security Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $44.67 | Professional | None | $36.31 | $36.31 | $44.67 |
Security Health Setting Professional Modifier None Typical Low $36.31 Median $66.07 Typical High $147.91 | Professional | None | $36.31 | $66.07 | $147.91 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $10.47 Median $16.98 Typical High $64.57 | Professional | None | $10.47 | $16.98 | $64.57 |
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 $12.59 Median $12.59 Typical High $63.10 | Professional | 52 · Reduced service | $12.59 | $12.59 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $25.12 | Professional | 53 · Discontinued | $5.01 | $5.01 | $25.12 |
Where Wisconsin sits
The same service costs 6.6 times more in Vermont than in Kentucky. 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· 5th of 51
$30.90
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.