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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $630.96 | Professional | None | $52.48 | $52.48 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $114.82 Typical High $120.23 | Facility | None | $95.50 | $114.82 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $74.13 Typical High $173.78 | Professional | None | $17.78 | $74.13 | $173.78 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $128.82 Typical High $169.82 | Facility | None | $109.65 | $128.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $75.86 Typical High $138.04 | Professional | None | $20.89 | $75.86 | $138.04 |
DeanCare Setting Facility Modifier None Typical Low $21.88 Median $89.13 Typical High $138.04 | Facility | None | $21.88 | $89.13 | $138.04 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $41.69 Typical High $208.93 | Facility | None | $21.88 | $41.69 | $208.93 |
Medica Setting Professional Modifier None Typical Low $15.14 Median $35.48 Typical High $123.03 | Professional | None | $15.14 | $35.48 | $123.03 |
Network Health Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $67.61 | Facility | None | $28.18 | $28.18 | $67.61 |
Network Health Setting Professional Modifier None Typical Low $33.11 Median $43.65 Typical High $125.89 | Professional | None | $33.11 | $43.65 | $125.89 |
Prevea360 Setting Facility Modifier None Typical Low $21.88 Median $36.31 Typical High $56.23 | Facility | None | $21.88 | $36.31 | $56.23 |
Quartz Setting Professional Modifier None Typical Low $48.98 Median $100.00 Typical High $144.54 | Professional | None | $48.98 | $100.00 | $144.54 |
Quartz Setting Professional Modifier None Typical Low $12.02 Median $20.89 Typical High $114.82 | Professional | None | $12.02 | $20.89 | $114.82 |
Security Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $93.33 | Professional | None | $18.62 | $18.62 | $93.33 |
Security Health Setting Professional Modifier None Typical Low $18.62 Median $91.20 Typical High $309.03 | Professional | None | $18.62 | $91.20 | $309.03 |
United Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
United Setting Professional Modifier None Typical Low $18.62 Median $26.30 Typical High $134.90 | Professional | None | $18.62 | $26.30 | $134.90 |
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 $26.30 Median $26.30 Typical High $316.23 | Professional | 52 · Reduced service | $26.30 | $26.30 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $125.89 | Professional | 53 · Discontinued | $10.47 | $10.47 | $125.89 |
Where Wisconsin sits
The same service costs 5.6 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
$57.54
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.