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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $562.34 | Professional | None | $21.88 | $21.88 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $46.77 Typical High $50.12 | Facility | None | $38.90 | $46.77 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $30.20 Typical High $131.83 | Professional | None | $8.91 | $30.20 | $131.83 |
CareSource Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $52.48 Typical High $69.18 | Facility | None | $44.67 | $52.48 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $30.90 Typical High $56.23 | Professional | None | $12.02 | $30.90 | $56.23 |
DeanCare Setting Facility Modifier None Typical Low $16.22 Median $89.13 Typical High $138.04 | Facility | None | $16.22 | $89.13 | $138.04 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $18.20 Typical High $134.90 | Facility | None | $14.45 | $18.20 | $134.90 |
Medica Setting Professional Modifier None Typical Low $10.96 Median $18.20 Typical High $58.88 | Professional | None | $10.96 | $18.20 | $58.88 |
Network Health Setting Facility Modifier None Typical Low $21.88 Median $28.18 Typical High $51.29 | Facility | None | $21.88 | $28.18 | $51.29 |
Network Health Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $51.29 | Professional | None | $13.49 | $18.62 | $51.29 |
Prevea360 Setting Facility Modifier None Typical Low $14.45 Median $16.22 Typical High $22.91 | Facility | None | $14.45 | $16.22 | $22.91 |
Quartz Setting Professional Modifier None Typical Low $19.95 Median $42.66 Typical High $60.26 | Professional | None | $19.95 | $42.66 | $60.26 |
Quartz Setting Professional Modifier None Typical Low $8.71 Median $12.02 Typical High $46.77 | Professional | None | $8.71 | $12.02 | $46.77 |
Security Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $38.90 | Professional | None | $36.31 | $36.31 | $38.90 |
Security Health Setting Professional Modifier None Typical Low $36.31 Median $72.44 Typical High $125.89 | Professional | None | $36.31 | $72.44 | $125.89 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $9.12 Median $15.85 Typical High $69.18 | Professional | None | $9.12 | $15.85 | $69.18 |
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 $10.96 Median $10.96 Typical High $281.84 | Professional | 52 · Reduced service | $10.96 | $10.96 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $112.20 | Professional | 53 · Discontinued | $4.37 | $4.37 | $112.20 |
Where Wisconsin sits
The same service costs 8.3 times more in Kansas than in Georgia. 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· 5th of 51
$28.18
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.