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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $630.96 | Professional | None | $37.15 | $37.15 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $81.28 Typical High $85.11 | Facility | None | $66.07 | $81.28 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $51.29 Typical High $223.87 | Professional | None | $15.14 | $51.29 | $223.87 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $91.20 Typical High $120.23 | Facility | None | $77.62 | $91.20 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $53.70 Typical High $97.72 | Professional | None | $20.42 | $53.70 | $97.72 |
DeanCare Setting Facility Modifier None Typical Low $27.54 Median $154.88 Typical High $239.88 | Facility | None | $27.54 | $154.88 | $239.88 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $30.90 Typical High $151.36 | Facility | None | $24.55 | $30.90 | $151.36 |
Medica Setting Professional Modifier None Typical Low $18.20 Median $30.90 Typical High $102.33 | Professional | None | $18.20 | $30.90 | $102.33 |
Network Health Setting Facility Modifier None Typical Low $37.15 Median $47.86 Typical High $89.13 | Facility | None | $37.15 | $47.86 | $89.13 |
Network Health Setting Professional Modifier None Typical Low $23.44 Median $31.62 Typical High $87.10 | Professional | None | $23.44 | $31.62 | $87.10 |
Prevea360 Setting Facility Modifier None Typical Low $24.55 Median $28.18 Typical High $39.81 | Facility | None | $24.55 | $28.18 | $39.81 |
Quartz Setting Professional Modifier None Typical Low $34.67 Median $74.13 Typical High $128.82 | Professional | None | $34.67 | $74.13 | $128.82 |
Quartz Setting Professional Modifier None Typical Low $14.79 Median $20.42 Typical High $81.28 | Professional | None | $14.79 | $20.42 | $81.28 |
Security Health Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $66.07 | Professional | None | $31.62 | $31.62 | $66.07 |
Security Health Setting Professional Modifier None Typical Low $31.62 Median $123.03 Typical High $218.78 | Professional | None | $31.62 | $123.03 | $218.78 |
United Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
United Setting Professional Modifier None Typical Low $15.49 Median $26.30 Typical High $117.49 | Professional | None | $15.49 | $26.30 | $117.49 |
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 $18.62 Median $18.62 Typical High $309.03 | Professional | 52 · Reduced service | $18.62 | $18.62 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $125.89 | Professional | 53 · Discontinued | $7.41 | $7.41 | $125.89 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Alabama. 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
$44.67
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.