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 $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $194.98 | Professional | None | $9.33 | $9.33 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $20.42 Typical High $21.88 | Facility | None | $16.98 | $20.42 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.89 Median $13.18 Typical High $57.54 | Professional | None | $3.89 | $13.18 | $57.54 |
CareSource Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $22.91 Typical High $30.20 | Facility | None | $19.95 | $22.91 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $13.49 Typical High $24.55 | Professional | None | $5.25 | $13.49 | $24.55 |
DeanCare Setting Facility Modifier None Typical Low $7.08 Median $38.90 Typical High $60.26 | Facility | None | $7.08 | $38.90 | $60.26 |
Medica Setting Facility Modifier None Typical Low $6.31 Median $7.94 Typical High $100.00 | Facility | None | $6.31 | $7.94 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.68 Median $7.94 Typical High $25.70 | Professional | None | $4.68 | $7.94 | $25.70 |
Network Health Setting Facility Modifier None Typical Low $9.33 Median $12.02 Typical High $22.39 | Facility | None | $9.33 | $12.02 | $22.39 |
Network Health Setting Professional Modifier None Typical Low $5.89 Median $7.94 Typical High $22.39 | Professional | None | $5.89 | $7.94 | $22.39 |
Prevea360 Setting Facility Modifier None Typical Low $6.31 Median $7.08 Typical High $10.00 | Facility | None | $6.31 | $7.08 | $10.00 |
Quartz Setting Professional Modifier None Typical Low $8.91 Median $19.05 Typical High $33.11 | Professional | None | $8.91 | $19.05 | $33.11 |
Quartz Setting Professional Modifier None Typical Low $3.72 Median $5.25 Typical High $20.42 | Professional | None | $3.72 | $5.25 | $20.42 |
Security Health Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $75.86 | Professional | None | $16.60 | $16.60 | $75.86 |
Security Health Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $75.86 | Professional | None | $42.66 | $54.95 | $75.86 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $23.99 | Facility | None | $9.33 | $9.33 | $23.99 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.61 Typical High $30.20 | Professional | None | $3.98 | $6.61 | $30.20 |
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 $4.68 Median $4.68 Typical High $97.72 | Professional | 52 · Reduced service | $4.68 | $4.68 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $39.81 | Professional | 53 · Discontinued | $1.91 | $1.91 | $39.81 |
Where Wisconsin sits
The same service costs 4.1 times more in Kansas than in Maryland. 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· 6th of 51
$12.02
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.