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 $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $128.82 | Professional | None | $11.48 | $11.48 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $24.55 Typical High $26.30 | Facility | None | $20.42 | $24.55 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $15.85 Typical High $58.88 | Professional | None | $4.07 | $15.85 | $58.88 |
CareSource Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
CareSource Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $28.18 Typical High $37.15 | Facility | None | $24.55 | $28.18 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $16.60 Typical High $29.51 | Professional | None | $5.37 | $16.60 | $29.51 |
DeanCare Setting Facility Modifier None Typical Low $7.24 Median $40.74 Typical High $63.10 | Facility | None | $7.24 | $40.74 | $63.10 |
Medica Setting Facility Modifier None Typical Low $7.24 Median $8.91 Typical High $204.17 | Facility | None | $7.24 | $8.91 | $204.17 |
Medica Setting Professional Modifier None Typical Low $5.50 Median $9.55 Typical High $26.92 | Professional | None | $5.50 | $9.55 | $26.92 |
Network Health Setting Facility Modifier None Typical Low $11.48 Median $12.59 Typical High $23.44 | Facility | None | $11.48 | $12.59 | $23.44 |
Network Health Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $26.92 | Professional | None | $7.08 | $9.77 | $26.92 |
Prevea360 Setting Facility Modifier None Typical Low $7.24 Median $7.76 Typical High $12.30 | Facility | None | $7.24 | $7.76 | $12.30 |
Quartz Setting Professional Modifier None Typical Low $10.72 Median $22.91 Typical High $33.88 | Professional | None | $10.72 | $22.91 | $33.88 |
Quartz Setting Professional Modifier None Typical Low $4.68 Median $5.37 Typical High $24.55 | Professional | None | $4.68 | $5.37 | $24.55 |
Security Health Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $20.42 | Professional | None | $8.32 | $8.32 | $20.42 |
Security Health Setting Professional Modifier None Typical Low $8.32 Median $33.11 Typical High $66.07 | Professional | None | $8.32 | $33.11 | $66.07 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $22.39 | Facility | None | $11.48 | $11.48 | $22.39 |
United Setting Professional Modifier None Typical Low $4.79 Median $7.59 Typical High $30.90 | Professional | None | $4.79 | $7.59 | $30.90 |
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 $5.75 Median $5.75 Typical High $64.57 | Professional | 52 · Reduced service | $5.75 | $5.75 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $25.70 | Professional | 53 · Discontinued | $2.29 | $2.29 | $25.70 |
Where Wisconsin sits
The same service costs 3.3 times more in Kansas 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· 8th of 51
$13.18
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.