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 $12.88 Median $12.88 Typical High $16.60 | Facility | None | $12.88 | $12.88 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.88 Typical High $213.80 | Professional | None | $12.59 | $12.88 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $28.18 Typical High $29.51 | Facility | None | $22.91 | $28.18 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $17.78 Typical High $77.62 | Professional | None | $5.25 | $17.78 | $77.62 |
CareSource Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
CareSource Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $31.62 Typical High $41.69 | Facility | None | $26.92 | $31.62 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $18.62 Typical High $33.88 | Professional | None | $7.08 | $18.62 | $33.88 |
DeanCare Setting Facility Modifier None Typical Low $9.55 Median $53.70 Typical High $83.18 | Facility | None | $9.55 | $53.70 | $83.18 |
Medica Setting Facility Modifier None Typical Low $8.71 Median $12.88 Typical High $100.00 | Facility | None | $8.71 | $12.88 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.46 Median $10.72 Typical High $35.48 | Professional | None | $6.46 | $10.72 | $35.48 |
Network Health Setting Facility Modifier None Typical Low $12.88 Median $16.60 Typical High $30.90 | Facility | None | $12.88 | $16.60 | $30.90 |
Network Health Setting Professional Modifier None Typical Low $8.13 Median $10.96 Typical High $30.20 | Professional | None | $8.13 | $10.96 | $30.20 |
Prevea360 Setting Facility Modifier None Typical Low $8.51 Median $9.77 Typical High $13.80 | Facility | None | $8.51 | $9.77 | $13.80 |
Quartz Setting Professional Modifier None Typical Low $11.75 Median $25.12 Typical High $44.67 | Professional | None | $11.75 | $25.12 | $44.67 |
Quartz Setting Professional Modifier None Typical Low $5.13 Median $7.08 Typical High $28.18 | Professional | None | $5.13 | $7.08 | $28.18 |
Security Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $23.44 | Professional | None | $22.91 | $22.91 | $23.44 |
Security Health Setting Professional Modifier None Typical Low $23.44 Median $58.88 Typical High $75.86 | Professional | None | $23.44 | $58.88 | $75.86 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $30.20 | Facility | None | $12.88 | $12.88 | $30.20 |
United Setting Professional Modifier None Typical Low $5.37 Median $9.33 Typical High $40.74 | Professional | None | $5.37 | $9.33 | $40.74 |
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 $6.46 Median $6.46 Typical High $107.15 | Professional | 52 · Reduced service | $6.46 | $6.46 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $42.66 | Professional | 53 · Discontinued | $2.57 | $2.57 | $42.66 |
Where Wisconsin sits
The same service costs 13.8 times more in Vermont than in Utah. 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· 10th of 51
$15.85
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.