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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $30.20 Typical High $426.58 | Professional | None | $29.51 | $30.20 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $66.07 Typical High $69.18 | Facility | None | $53.70 | $66.07 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $42.66 Typical High $181.97 | Professional | None | $12.59 | $42.66 | $181.97 |
CareSource Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $74.13 Typical High $97.72 | Facility | None | $63.10 | $74.13 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $43.65 Typical High $79.43 | Professional | None | $16.60 | $43.65 | $79.43 |
DeanCare Setting Facility Modifier None Typical Low $22.39 Median $125.89 Typical High $194.98 | Facility | None | $22.39 | $125.89 | $194.98 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $25.12 Typical High $120.23 | Facility | None | $20.42 | $25.12 | $120.23 |
Medica Setting Professional Modifier None Typical Low $15.14 Median $25.12 Typical High $83.18 | Professional | None | $15.14 | $25.12 | $83.18 |
Network Health Setting Facility Modifier None Typical Low $30.20 Median $38.90 Typical High $72.44 | Facility | None | $30.20 | $38.90 | $72.44 |
Network Health Setting Professional Modifier None Typical Low $19.05 Median $25.70 Typical High $70.79 | Professional | None | $19.05 | $25.70 | $70.79 |
Prevea360 Setting Facility Modifier None Typical Low $20.42 Median $22.91 Typical High $32.36 | Facility | None | $20.42 | $22.91 | $32.36 |
Quartz Setting Professional Modifier None Typical Low $28.18 Median $60.26 Typical High $104.71 | Professional | None | $28.18 | $60.26 | $104.71 |
Quartz Setting Professional Modifier None Typical Low $12.02 Median $16.60 Typical High $66.07 | Professional | None | $12.02 | $16.60 | $66.07 |
Security Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $63.10 | Professional | None | $53.70 | $53.70 | $63.10 |
Security Health Setting Professional Modifier None Typical Low $63.10 Median $138.04 Typical High $177.83 | Professional | None | $63.10 | $138.04 | $177.83 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $12.59 Median $22.91 Typical High $95.50 | Professional | None | $12.59 | $22.91 | $95.50 |
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 $15.14 Median $15.14 Typical High $213.80 | Professional | 52 · Reduced service | $15.14 | $15.14 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $85.11 | Professional | 53 · Discontinued | $6.03 | $6.03 | $85.11 |
Where Wisconsin sits
The same service costs 3.7 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· 8th of 51
$37.15
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.