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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $363.08 | Professional | None | $15.14 | $15.14 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $34.67 | Facility | None | $26.92 | $32.36 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $20.89 Typical High $91.20 | Professional | None | $6.17 | $20.89 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $37.15 Typical High $48.98 | Facility | None | $31.62 | $37.15 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $21.88 Typical High $38.90 | Professional | None | $8.32 | $21.88 | $38.90 |
DeanCare Setting Facility Modifier None Typical Low $11.22 Median $61.66 Typical High $97.72 | Facility | None | $11.22 | $61.66 | $97.72 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $12.59 Typical High $100.00 | Facility | None | $10.00 | $12.59 | $100.00 |
Medica Setting Professional Modifier None Typical Low $7.59 Median $12.59 Typical High $40.74 | Professional | None | $7.59 | $12.59 | $40.74 |
Network Health Setting Facility Modifier None Typical Low $15.14 Median $19.50 Typical High $35.48 | Facility | None | $15.14 | $19.50 | $35.48 |
Network Health Setting Professional Modifier None Typical Low $9.33 Median $12.88 Typical High $35.48 | Professional | None | $9.33 | $12.88 | $35.48 |
Prevea360 Setting Facility Modifier None Typical Low $10.00 Median $11.22 Typical High $15.85 | Facility | None | $10.00 | $11.22 | $15.85 |
Quartz Setting Professional Modifier None Typical Low $13.80 Median $29.51 Typical High $52.48 | Professional | None | $13.80 | $29.51 | $52.48 |
Quartz Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $32.36 | Professional | None | $6.03 | $8.32 | $32.36 |
Security Health Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $26.92 | Professional | None | $12.88 | $12.88 | $26.92 |
Security Health Setting Professional Modifier None Typical Low $12.88 Median $50.12 Typical High $87.10 | Professional | None | $12.88 | $50.12 | $87.10 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $44.67 | Facility | None | $15.14 | $15.14 | $44.67 |
United Setting Professional Modifier None Typical Low $6.31 Median $10.96 Typical High $47.86 | Professional | None | $6.31 | $10.96 | $47.86 |
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 $7.59 Median $7.59 Typical High $181.97 | Professional | 52 · Reduced service | $7.59 | $7.59 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $74.13 | Professional | 53 · Discontinued | $3.02 | $3.02 | $74.13 |
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· 7th of 51
$18.20
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.