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 $45.71 Median $45.71 Typical High $53.70 | Facility | None | $45.71 | $45.71 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $45.71 Typical High $549.54 | Professional | None | $38.02 | $45.71 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $100.00 Typical High $104.71 | Facility | None | $83.18 | $100.00 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $64.57 Typical High $281.84 | Professional | None | $19.05 | $64.57 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
CareSource Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $112.20 Typical High $147.91 | Facility | None | $95.50 | $112.20 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $66.07 Typical High $120.23 | Professional | None | $25.70 | $66.07 | $120.23 |
DeanCare Setting Facility Modifier None Typical Low $34.67 Median $190.55 Typical High $295.12 | Facility | None | $34.67 | $190.55 | $295.12 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $38.90 Typical High $181.97 | Facility | None | $30.20 | $38.90 | $181.97 |
Medica Setting Professional Modifier None Typical Low $22.91 Median $38.90 Typical High $125.89 | Professional | None | $22.91 | $38.90 | $125.89 |
Network Health Setting Facility Modifier None Typical Low $45.71 Median $58.88 Typical High $109.65 | Facility | None | $45.71 | $58.88 | $109.65 |
Network Health Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $109.65 | Professional | None | $28.84 | $38.90 | $109.65 |
Prevea360 Setting Facility Modifier None Typical Low $30.90 Median $34.67 Typical High $48.98 | Facility | None | $30.90 | $34.67 | $48.98 |
Quartz Setting Professional Modifier None Typical Low $42.66 Median $91.20 Typical High $162.18 | Professional | None | $42.66 | $91.20 | $162.18 |
Quartz Setting Professional Modifier None Typical Low $18.62 Median $25.70 Typical High $100.00 | Professional | None | $18.62 | $25.70 | $100.00 |
Security Health Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $81.28 | Professional | None | $56.23 | $56.23 | $81.28 |
Security Health Setting Professional Modifier None Typical Low $56.23 Median $208.93 Typical High $269.15 | Professional | None | $56.23 | $208.93 | $269.15 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $19.05 Median $38.90 Typical High $147.91 | Professional | None | $19.05 | $38.90 | $147.91 |
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 $22.91 Median $22.91 Typical High $275.42 | Professional | 52 · Reduced service | $22.91 | $22.91 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $109.65 | Professional | 53 · Discontinued | $9.33 | $9.33 | $109.65 |
Where Wisconsin sits
The same service costs 3.6 times more in Alaska 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· 9th of 51
$56.23
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.