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 $19.50 Median $20.42 Typical High $23.44 | Facility | None | $19.50 | $20.42 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $20.42 Typical High $102.33 | Professional | None | $13.80 | $20.42 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $43.65 Typical High $46.77 | Facility | None | $36.31 | $43.65 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $28.18 Typical High $104.71 | Professional | None | $8.32 | $28.18 | $104.71 |
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 $42.66 Median $48.98 Typical High $64.57 | Facility | None | $42.66 | $48.98 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $28.84 Typical High $52.48 | Professional | None | $11.22 | $28.84 | $52.48 |
DeanCare Setting Facility Modifier None Typical Low $15.14 Median $70.79 Typical High $112.20 | Facility | None | $15.14 | $70.79 | $112.20 |
Medica Setting Facility Modifier None Typical Low $13.49 Median $16.98 Typical High $93.33 | Facility | None | $13.49 | $16.98 | $93.33 |
Medica Setting Professional Modifier None Typical Low $10.00 Median $16.98 Typical High $54.95 | Professional | None | $10.00 | $16.98 | $54.95 |
Network Health Setting Facility Modifier None Typical Low $20.42 Median $22.39 Typical High $40.74 | Facility | None | $20.42 | $22.39 | $40.74 |
Network Health Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $47.86 | Professional | None | $12.59 | $17.38 | $47.86 |
Prevea360 Setting Facility Modifier None Typical Low $13.49 Median $15.14 Typical High $21.38 | Facility | None | $13.49 | $15.14 | $21.38 |
Quartz Setting Professional Modifier None Typical Low $19.05 Median $39.81 Typical High $70.79 | Professional | None | $19.05 | $39.81 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $8.13 Median $11.22 Typical High $43.65 | Professional | None | $8.13 | $11.22 | $43.65 |
Security Health Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $36.31 | Professional | None | $14.79 | $14.79 | $36.31 |
Security Health Setting Professional Modifier None Typical Low $14.79 Median $72.44 Typical High $117.49 | Professional | None | $14.79 | $72.44 | $117.49 |
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 $14.79 Typical High $64.57 | Professional | None | $8.51 | $14.79 | $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 $6.61 Median $10.00 Typical High $51.29 | Professional | 52 · Reduced service | $6.61 | $10.00 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $4.07 Typical High $20.42 | Professional | 53 · Discontinued | $2.63 | $4.07 | $20.42 |
Where Wisconsin sits
The same service costs 18.6 times more in Kansas 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· 8th of 51
$23.44
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.