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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $588.84 | Professional | None | $32.36 | $32.36 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $69.18 Typical High $74.13 | Facility | None | $57.54 | $69.18 | $74.13 |
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 $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $79.43 Typical High $104.71 | Facility | None | $67.61 | $79.43 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $46.77 Typical High $83.18 | Professional | None | $17.78 | $46.77 | $83.18 |
DeanCare Setting Facility Modifier None Typical Low $23.99 Median $131.83 Typical High $208.93 | Facility | None | $23.99 | $131.83 | $208.93 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $26.92 Typical High $128.82 | Facility | None | $21.38 | $26.92 | $128.82 |
Medica Setting Professional Modifier None Typical Low $16.22 Median $26.92 Typical High $87.10 | Professional | None | $16.22 | $26.92 | $87.10 |
Network Health Setting Facility Modifier None Typical Low $32.36 Median $41.69 Typical High $75.86 | Facility | None | $32.36 | $41.69 | $75.86 |
Network Health Setting Professional Modifier None Typical Low $19.95 Median $27.54 Typical High $75.86 | Professional | None | $19.95 | $27.54 | $75.86 |
Prevea360 Setting Facility Modifier None Typical Low $21.38 Median $23.99 Typical High $34.67 | Facility | None | $21.38 | $23.99 | $34.67 |
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 $12.88 Median $17.78 Typical High $69.18 | Professional | None | $12.88 | $17.78 | $69.18 |
Security Health Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $70.79 | Professional | None | $57.54 | $57.54 | $70.79 |
Security Health Setting Professional Modifier None Typical Low $70.79 Median $147.91 Typical High $186.21 | Professional | None | $70.79 | $147.91 | $186.21 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $89.13 | Facility | None | $32.36 | $32.36 | $89.13 |
United Setting Professional Modifier None Typical Low $13.49 Median $22.39 Typical High $102.33 | Professional | None | $13.49 | $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 $16.22 Median $16.22 Typical High $295.12 | Professional | 52 · Reduced service | $16.22 | $16.22 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $117.49 | Professional | 53 · Discontinued | $6.46 | $6.46 | $117.49 |
Where Wisconsin sits
The same service costs 3.5 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· 6th of 51
$39.81
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.