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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $102.33 | Professional | None | $24.55 | $24.55 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $53.70 Typical High $56.23 | Facility | None | $44.67 | $53.70 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $34.67 Typical High $151.36 | Professional | None | $10.23 | $34.67 | $151.36 |
CareSource Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $61.66 Typical High $79.43 | Facility | None | $52.48 | $61.66 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $35.48 Typical High $64.57 | Professional | None | $13.49 | $35.48 | $64.57 |
DeanCare Setting Facility Modifier None Typical Low $18.20 Median $102.33 Typical High $158.49 | Facility | None | $18.20 | $102.33 | $158.49 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $20.42 Typical High $100.00 | Facility | None | $16.60 | $20.42 | $100.00 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $20.42 Typical High $67.61 | Professional | None | $12.02 | $20.42 | $67.61 |
Network Health Setting Facility Modifier None Typical Low $24.55 Median $31.62 Typical High $58.88 | Facility | None | $24.55 | $31.62 | $58.88 |
Network Health Setting Professional Modifier None Typical Low $15.49 Median $20.89 Typical High $58.88 | Professional | None | $15.49 | $20.89 | $58.88 |
Prevea360 Setting Facility Modifier None Typical Low $16.60 Median $18.62 Typical High $26.30 | Facility | None | $16.60 | $18.62 | $26.30 |
Quartz Setting Professional Modifier None Typical Low $22.91 Median $48.98 Typical High $87.10 | Professional | None | $22.91 | $48.98 | $87.10 |
Quartz Setting Professional Modifier None Typical Low $10.00 Median $13.49 Typical High $53.70 | Professional | None | $10.00 | $13.49 | $53.70 |
Security Health Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $43.65 | Professional | None | $21.38 | $21.38 | $43.65 |
Security Health Setting Professional Modifier None Typical Low $21.38 Median $112.20 Typical High $144.54 | Professional | None | $21.38 | $112.20 | $144.54 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $10.23 Median $17.38 Typical High $79.43 | Professional | None | $10.23 | $17.38 | $79.43 |
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 $12.30 Median $12.30 Typical High $51.29 | Professional | 52 · Reduced service | $12.30 | $12.30 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $20.42 | Professional | 53 · Discontinued | $5.01 | $5.01 | $20.42 |
Where Wisconsin sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 7th of 51
$30.20
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.