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 $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $138.04 | Professional | None | $16.98 | $16.98 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $36.31 Typical High $38.90 | Facility | None | $30.20 | $36.31 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $23.44 Typical High $57.54 | Professional | None | $5.62 | $23.44 | $57.54 |
CareSource Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $40.74 Typical High $53.70 | Facility | None | $35.48 | $40.74 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $23.99 Typical High $43.65 | Professional | None | $6.61 | $23.99 | $43.65 |
DeanCare Setting Facility Modifier None Typical Low $5.37 Median $29.51 Typical High $46.77 | Facility | None | $5.37 | $29.51 | $46.77 |
Medica Setting Facility Modifier None Typical Low $5.37 Median $13.18 Typical High $100.00 | Facility | None | $5.37 | $13.18 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.01 Median $11.22 Typical High $38.90 | Professional | None | $5.01 | $11.22 | $38.90 |
Network Health Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $21.88 | Facility | None | $9.33 | $9.33 | $21.88 |
Network Health Setting Professional Modifier None Typical Low $10.47 Median $14.13 Typical High $39.81 | Professional | None | $10.47 | $14.13 | $39.81 |
Prevea360 Setting Facility Modifier None Typical Low $5.37 Median $11.48 Typical High $18.20 | Facility | None | $5.37 | $11.48 | $18.20 |
Quartz Setting Professional Modifier None Typical Low $15.49 Median $33.11 Typical High $46.77 | Professional | None | $15.49 | $33.11 | $46.77 |
Quartz Setting Professional Modifier None Typical Low $3.89 Median $6.61 Typical High $36.31 | Professional | None | $3.89 | $6.61 | $36.31 |
Security Health Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $30.20 | Professional | None | $6.17 | $6.17 | $30.20 |
Security Health Setting Professional Modifier None Typical Low $6.17 Median $30.20 Typical High $97.72 | Professional | None | $6.17 | $30.20 | $97.72 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $16.98 | Facility | None | $10.47 | $10.47 | $16.98 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.51 Typical High $43.65 | Professional | None | $5.89 | $8.51 | $43.65 |
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 $8.51 Median $8.51 Typical High $69.18 | Professional | 52 · Reduced service | $8.51 | $8.51 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $27.54 | Professional | 53 · Discontinued | $3.39 | $3.39 | $27.54 |
Where Wisconsin sits
The same service costs 4.9 times more in Alaska 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· 5th 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.