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 $26.30 Median $26.30 Typical High $30.90 | Facility | None | $26.30 | $26.30 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $26.30 Typical High $323.59 | Professional | None | $21.38 | $26.30 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $57.54 Typical High $61.66 | Facility | None | $47.86 | $57.54 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $37.15 Typical High $131.83 | Professional | None | $8.91 | $37.15 | $131.83 |
CareSource Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $64.57 Typical High $85.11 | Facility | None | $56.23 | $64.57 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $38.02 Typical High $69.18 | Professional | None | $11.22 | $38.02 | $69.18 |
DeanCare Setting Facility Modifier None Typical Low $16.22 Median $89.13 Typical High $138.04 | Facility | None | $16.22 | $89.13 | $138.04 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $26.30 Typical High $218.78 | Facility | None | $16.22 | $26.30 | $218.78 |
Medica Setting Professional Modifier None Typical Low $13.18 Median $22.39 Typical High $61.66 | Professional | None | $13.18 | $22.39 | $61.66 |
Network Health Setting Facility Modifier None Typical Low $26.30 Median $28.18 Typical High $51.29 | Facility | None | $26.30 | $28.18 | $51.29 |
Network Health Setting Professional Modifier None Typical Low $16.60 Median $22.39 Typical High $63.10 | Professional | None | $16.60 | $22.39 | $63.10 |
Prevea360 Setting Facility Modifier None Typical Low $16.22 Median $18.20 Typical High $28.18 | Facility | None | $16.22 | $18.20 | $28.18 |
Quartz Setting Professional Modifier None Typical Low $24.55 Median $52.48 Typical High $75.86 | Professional | None | $24.55 | $52.48 | $75.86 |
Quartz Setting Professional Modifier None Typical Low $10.72 Median $12.02 Typical High $57.54 | Professional | None | $10.72 | $12.02 | $57.54 |
Security Health Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $186.21 | Professional | None | $46.77 | $46.77 | $186.21 |
Security Health Setting Professional Modifier None Typical Low $77.62 Median $147.91 Typical High $186.21 | Professional | None | $77.62 | $147.91 | $186.21 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $10.96 Median $17.78 Typical High $69.18 | Professional | None | $10.96 | $17.78 | $69.18 |
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 $13.18 Median $13.18 Typical High $158.49 | Professional | 52 · Reduced service | $13.18 | $13.18 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $64.57 | Professional | 53 · Discontinued | $5.37 | $5.37 | $64.57 |
Where Wisconsin sits
The same service costs 5.0 times more in Alaska than in Georgia. 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
$32.36
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.