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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $16.22 Typical High $223.87 | Professional | None | $15.85 | $16.22 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $34.67 Typical High $37.15 | Facility | None | $28.84 | $34.67 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $22.39 Typical High $97.72 | Professional | None | $6.61 | $22.39 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $38.90 Typical High $51.29 | Facility | None | $33.11 | $38.90 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $22.91 Typical High $41.69 | Professional | None | $8.91 | $22.91 | $41.69 |
DeanCare Setting Facility Modifier None Typical Low $12.02 Median $66.07 Typical High $104.71 | Facility | None | $12.02 | $66.07 | $104.71 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $13.49 Typical High $100.00 | Facility | None | $10.72 | $13.49 | $100.00 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $13.49 Typical High $43.65 | Professional | None | $7.94 | $13.49 | $43.65 |
Network Health Setting Facility Modifier None Typical Low $16.22 Median $20.89 Typical High $38.02 | Facility | None | $16.22 | $20.89 | $38.02 |
Network Health Setting Professional Modifier None Typical Low $10.00 Median $13.80 Typical High $38.02 | Professional | None | $10.00 | $13.80 | $38.02 |
Prevea360 Setting Facility Modifier None Typical Low $10.72 Median $12.02 Typical High $16.98 | Facility | None | $10.72 | $12.02 | $16.98 |
Quartz Setting Professional Modifier None Typical Low $14.79 Median $31.62 Typical High $56.23 | Professional | None | $14.79 | $31.62 | $56.23 |
Quartz Setting Professional Modifier None Typical Low $6.31 Median $8.91 Typical High $34.67 | Professional | None | $6.31 | $8.91 | $34.67 |
Security Health Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $36.31 | Professional | None | $28.18 | $28.18 | $36.31 |
Security Health Setting Professional Modifier None Typical Low $36.31 Median $61.66 Typical High $93.33 | Professional | None | $36.31 | $61.66 | $93.33 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $44.67 | Facility | None | $16.22 | $16.22 | $44.67 |
United Setting Professional Modifier None Typical Low $6.76 Median $11.22 Typical High $51.29 | Professional | None | $6.76 | $11.22 | $51.29 |
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 $7.94 Median $7.94 Typical High $112.20 | Professional | 52 · Reduced service | $7.94 | $7.94 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $44.67 | Professional | 53 · Discontinued | $3.24 | $3.24 | $44.67 |
Where Wisconsin sits
The same service costs 3.1 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· 7th of 51
$19.50
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.