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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $245.47 | Professional | None | $31.62 | $31.62 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $69.18 Typical High $72.44 | Facility | None | $57.54 | $69.18 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $44.67 Typical High $194.98 | Professional | None | $13.18 | $44.67 | $194.98 |
CareSource Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $77.62 Typical High $102.33 | Facility | None | $66.07 | $77.62 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $45.71 Typical High $83.18 | Professional | None | $17.38 | $45.71 | $83.18 |
DeanCare Setting Facility Modifier None Typical Low $23.44 Median $131.83 Typical High $204.17 | Facility | None | $23.44 | $131.83 | $204.17 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $26.30 Typical High $128.82 | Facility | None | $21.38 | $26.30 | $128.82 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $26.30 Typical High $87.10 | Professional | None | $15.49 | $26.30 | $87.10 |
Network Health Setting Facility Modifier None Typical Low $31.62 Median $40.74 Typical High $75.86 | Facility | None | $31.62 | $40.74 | $75.86 |
Network Health Setting Professional Modifier None Typical Low $19.95 Median $26.92 Typical High $75.86 | Professional | None | $19.95 | $26.92 | $75.86 |
Prevea360 Setting Facility Modifier None Typical Low $21.38 Median $23.99 Typical High $33.88 | Facility | None | $21.38 | $23.99 | $33.88 |
Quartz Setting Professional Modifier None Typical Low $29.51 Median $63.10 Typical High $112.20 | Professional | None | $29.51 | $63.10 | $112.20 |
Quartz Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $69.18 | Professional | None | $12.59 | $17.38 | $69.18 |
Security Health Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $56.23 | Professional | None | $27.54 | $27.54 | $56.23 |
Security Health Setting Professional Modifier None Typical Low $27.54 Median $107.15 Typical High $186.21 | Professional | None | $27.54 | $107.15 | $186.21 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $104.71 | Facility | None | $31.62 | $31.62 | $104.71 |
United Setting Professional Modifier None Typical Low $13.18 Median $22.39 Typical High $102.33 | Professional | None | $13.18 | $22.39 | $102.33 |
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 $15.85 Median $15.85 Typical High $123.03 | Professional | 52 · Reduced service | $15.85 | $15.85 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $48.98 | Professional | 53 · Discontinued | $6.31 | $6.31 | $48.98 |
Where Wisconsin sits
The same service costs 3.6 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· 9th of 51
$38.02
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.