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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $478.63 | Professional | None | $60.26 | $74.13 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $158.49 Typical High $169.82 | Facility | None | $131.83 | $158.49 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $102.33 Typical High $281.84 | Professional | None | $24.55 | $102.33 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $181.97 Typical High $234.42 | Facility | None | $154.88 | $181.97 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $104.71 Typical High $190.55 | Professional | None | $29.51 | $104.71 | $190.55 |
DeanCare Setting Facility Modifier None Typical Low $30.90 Median $169.82 Typical High $263.03 | Facility | None | $30.90 | $169.82 | $263.03 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $57.54 Typical High $295.12 | Facility | None | $30.90 | $57.54 | $295.12 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $48.98 Typical High $169.82 | Professional | None | $28.18 | $48.98 | $169.82 |
Network Health Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $97.72 | Facility | None | $52.48 | $52.48 | $97.72 |
Network Health Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $173.78 | Professional | None | $45.71 | $63.10 | $173.78 |
Prevea360 Setting Facility Modifier None Typical Low $30.90 Median $50.12 Typical High $79.43 | Facility | None | $30.90 | $50.12 | $79.43 |
Quartz Setting Professional Modifier None Typical Low $67.61 Median $144.54 Typical High $204.17 | Professional | None | $67.61 | $144.54 | $204.17 |
Quartz Setting Professional Modifier None Typical Low $22.91 Median $29.51 Typical High $158.49 | Professional | None | $22.91 | $29.51 | $158.49 |
Security Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $131.83 | Professional | None | $53.70 | $53.70 | $131.83 |
Security Health Setting Professional Modifier None Typical Low $53.70 Median $338.84 Typical High $426.58 | Professional | None | $53.70 | $338.84 | $426.58 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $25.70 Median $47.86 Typical High $190.55 | Professional | None | $25.70 | $47.86 | $190.55 |
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 $37.15 Median $37.15 Typical High $239.88 | Professional | 52 · Reduced service | $37.15 | $37.15 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $95.50 | Professional | 53 · Discontinued | $14.79 | $14.79 | $95.50 |
Where Wisconsin sits
The same service costs 6.5 times more in Alaska than in South Carolina. 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· 4th of 51
$81.28
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.