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 $20.42 Median $20.42 Typical High $26.30 | Facility | None | $20.42 | $20.42 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $275.42 | Professional | None | $20.42 | $20.42 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $37.15 Median $44.67 Typical High $46.77 | Facility | None | $37.15 | $44.67 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $28.84 Typical High $102.33 | Professional | None | $8.51 | $28.84 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $50.12 Typical High $66.07 | Facility | None | $43.65 | $50.12 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $29.51 Typical High $53.70 | Professional | None | $11.22 | $29.51 | $53.70 |
DeanCare Setting Facility Modifier None Typical Low $15.14 Median $70.79 Typical High $109.65 | Facility | None | $15.14 | $70.79 | $109.65 |
Medica Setting Facility Modifier None Typical Low $13.80 Median $17.38 Typical High $114.82 | Facility | None | $13.80 | $17.38 | $114.82 |
Medica Setting Professional Modifier None Typical Low $10.00 Median $16.98 Typical High $56.23 | Professional | None | $10.00 | $16.98 | $56.23 |
Network Health Setting Facility Modifier None Typical Low $20.42 Median $21.88 Typical High $40.74 | Facility | None | $20.42 | $21.88 | $40.74 |
Network Health Setting Professional Modifier None Typical Low $12.88 Median $17.38 Typical High $48.98 | Professional | None | $12.88 | $17.38 | $48.98 |
Prevea360 Setting Facility Modifier None Typical Low $13.80 Median $15.49 Typical High $21.88 | Facility | None | $13.80 | $15.49 | $21.88 |
Quartz Setting Professional Modifier None Typical Low $19.05 Median $39.81 Typical High $72.44 | Professional | None | $19.05 | $39.81 | $72.44 |
Quartz Setting Professional Modifier None Typical Low $8.13 Median $11.22 Typical High $44.67 | Professional | None | $8.13 | $11.22 | $44.67 |
Security Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $64.57 | Professional | None | $36.31 | $36.31 | $64.57 |
Security Health Setting Professional Modifier None Typical Low $50.12 Median $93.33 Typical High $120.23 | Professional | None | $50.12 | $93.33 | $120.23 |
United Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $8.51 Median $13.80 Typical High $64.57 | Professional | None | $8.51 | $13.80 | $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 $10.23 Median $10.23 Typical High $138.04 | Professional | 52 · Reduced service | $10.23 | $10.23 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $56.23 | Professional | 53 · Discontinued | $4.07 | $4.07 | $56.23 |
Where Wisconsin sits
The same service costs 4.2 times more in Kansas than in Maryland. 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· 10th of 51
$25.12
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.