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 $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $60.26 | Professional | None | $5.50 | $5.50 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $11.75 Typical High $12.59 | Facility | None | $9.77 | $11.75 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.24 Median $7.59 Typical High $33.11 | Professional | None | $2.24 | $7.59 | $33.11 |
CareSource Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Facility | None | $3.09 | $3.09 | $3.09 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $13.49 Typical High $18.20 | Facility | None | $11.75 | $13.49 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $7.94 Typical High $14.13 | Professional | None | $2.95 | $7.94 | $14.13 |
DeanCare Setting Facility Modifier None Typical Low $4.07 Median $22.39 Typical High $35.48 | Facility | None | $4.07 | $22.39 | $35.48 |
Medica Setting Facility Modifier None Typical Low $3.63 Median $4.57 Typical High $100.00 | Facility | None | $3.63 | $4.57 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.75 Median $4.57 Typical High $14.79 | Professional | None | $2.75 | $4.57 | $14.79 |
Network Health Setting Facility Modifier None Typical Low $5.50 Median $7.08 Typical High $12.88 | Facility | None | $5.50 | $7.08 | $12.88 |
Network Health Setting Professional Modifier None Typical Low $3.39 Median $4.68 Typical High $12.88 | Professional | None | $3.39 | $4.68 | $12.88 |
Prevea360 Setting Facility Modifier None Typical Low $3.63 Median $4.07 Typical High $5.89 | Facility | None | $3.63 | $4.07 | $5.89 |
Quartz Setting Professional Modifier None Typical Low $5.25 Median $10.96 Typical High $19.05 | Professional | None | $5.25 | $10.96 | $19.05 |
Quartz Setting Professional Modifier None Typical Low $2.19 Median $2.95 Typical High $11.75 | Professional | None | $2.19 | $2.95 | $11.75 |
Security Health Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $9.77 | Professional | None | $4.68 | $4.68 | $9.77 |
Security Health Setting Professional Modifier None Typical Low $4.68 Median $25.12 Typical High $31.62 | Professional | None | $4.68 | $25.12 | $31.62 |
United Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
United Setting Professional Modifier None Typical Low $2.29 Median $3.80 Typical High $17.38 | Professional | None | $2.29 | $3.80 | $17.38 |
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 $2.75 Median $2.75 Typical High $30.20 | Professional | 52 · Reduced service | $2.75 | $2.75 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $12.02 | Professional | 53 · Discontinued | $1.10 | $1.10 | $12.02 |
Where Wisconsin sits
The same service costs 3.5 times more in Alaska than in Connecticut. 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
$6.61
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.