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 $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $257.04 | Professional | None | $13.80 | $13.80 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $30.20 Typical High $31.62 | Facility | None | $24.55 | $30.20 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $19.50 Typical High $83.18 | Professional | None | $5.75 | $19.50 | $83.18 |
CareSource Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $33.88 Typical High $44.67 | Facility | None | $28.84 | $33.88 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $19.95 Typical High $36.31 | Professional | None | $7.76 | $19.95 | $36.31 |
DeanCare Setting Facility Modifier None Typical Low $10.23 Median $57.54 Typical High $89.13 | Facility | None | $10.23 | $57.54 | $89.13 |
Medica Setting Facility Modifier None Typical Low $9.12 Median $11.48 Typical High $100.00 | Facility | None | $9.12 | $11.48 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.92 Median $11.48 Typical High $38.02 | Professional | None | $6.92 | $11.48 | $38.02 |
Network Health Setting Facility Modifier None Typical Low $13.80 Median $17.78 Typical High $33.11 | Facility | None | $13.80 | $17.78 | $33.11 |
Network Health Setting Professional Modifier None Typical Low $8.71 Median $11.75 Typical High $32.36 | Professional | None | $8.71 | $11.75 | $32.36 |
Prevea360 Setting Facility Modifier None Typical Low $9.12 Median $10.47 Typical High $14.79 | Facility | None | $9.12 | $10.47 | $14.79 |
Quartz Setting Professional Modifier None Typical Low $12.88 Median $27.54 Typical High $38.90 | Professional | None | $12.88 | $27.54 | $38.90 |
Quartz Setting Professional Modifier None Typical Low $5.62 Median $7.76 Typical High $30.20 | Professional | None | $5.62 | $7.76 | $30.20 |
Security Health Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $83.18 | Professional | None | $24.55 | $24.55 | $83.18 |
Security Health Setting Professional Modifier None Typical Low $45.71 Median $81.28 Typical High $83.18 | Professional | None | $45.71 | $81.28 | $83.18 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $5.75 Median $10.00 Typical High $43.65 | Professional | None | $5.75 | $10.00 | $43.65 |
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 $6.92 Median $6.92 Typical High $128.82 | Professional | 52 · Reduced service | $6.92 | $6.92 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $51.29 | Professional | 53 · Discontinued | $2.75 | $2.75 | $51.29 |
Where Wisconsin sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 5th of 51
$17.78
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.