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 $16.60 Median $16.98 Typical High $204.17 | Professional | None | $16.60 | $16.98 | $204.17 |
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 $6.92 Median $23.44 Typical High $102.33 | Professional | None | $6.92 | $23.44 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
CareSource Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $41.69 Typical High $54.95 | Facility | None | $36.31 | $41.69 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $24.55 Typical High $43.65 | Professional | None | $7.94 | $24.55 | $43.65 |
DeanCare Setting Facility Modifier None Typical Low $12.59 Median $70.79 Typical High $109.65 | Facility | None | $12.59 | $70.79 | $109.65 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $16.98 Typical High $204.17 | Facility | None | $11.48 | $16.98 | $204.17 |
Medica Setting Professional Modifier None Typical Low $8.51 Median $14.13 Typical High $45.71 | Professional | None | $8.51 | $14.13 | $45.71 |
Network Health Setting Facility Modifier None Typical Low $16.98 Median $21.88 Typical High $40.74 | Facility | None | $16.98 | $21.88 | $40.74 |
Network Health Setting Professional Modifier None Typical Low $10.47 Median $14.45 Typical High $39.81 | Professional | None | $10.47 | $14.45 | $39.81 |
Prevea360 Setting Facility Modifier None Typical Low $11.22 Median $12.59 Typical High $18.20 | Facility | None | $11.22 | $12.59 | $18.20 |
Quartz Setting Professional Modifier None Typical Low $15.49 Median $33.11 Typical High $58.88 | Professional | None | $15.49 | $33.11 | $58.88 |
Quartz Setting Professional Modifier None Typical Low $6.76 Median $9.33 Typical High $36.31 | Professional | None | $6.76 | $9.33 | $36.31 |
Security Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $69.18 | Professional | None | $30.20 | $30.20 | $69.18 |
Security Health Setting Professional Modifier None Typical Low $43.65 Median $77.62 Typical High $97.72 | Professional | None | $43.65 | $77.62 | $97.72 |
United Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
United Setting Professional Modifier None Typical Low $7.08 Median $12.02 Typical High $53.70 | Professional | None | $7.08 | $12.02 | $53.70 |
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 $109.65 | Professional | 52 · Reduced service | $8.51 | $8.51 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $43.65 | Professional | 53 · Discontinued | $3.39 | $3.39 | $43.65 |
Where Wisconsin sits
The same service costs 7.4 times more in Vermont than in Nebraska. 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· 9th of 51
$20.42
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.