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 $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $436.52 | Professional | None | $22.39 | $22.39 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $48.98 Typical High $51.29 | Facility | None | $40.74 | $48.98 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $31.62 Typical High $138.04 | Professional | None | $9.33 | $31.62 | $138.04 |
CareSource Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
CareSource Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $54.95 Typical High $72.44 | Facility | None | $46.77 | $54.95 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $32.36 Typical High $58.88 | Professional | None | $12.30 | $32.36 | $58.88 |
DeanCare Setting Facility Modifier None Typical Low $16.60 Median $93.33 Typical High $144.54 | Facility | None | $16.60 | $93.33 | $144.54 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $22.39 Typical High $162.18 | Facility | None | $15.14 | $22.39 | $162.18 |
Medica Setting Professional Modifier None Typical Low $11.22 Median $18.62 Typical High $61.66 | Professional | None | $11.22 | $18.62 | $61.66 |
Network Health Setting Facility Modifier None Typical Low $22.39 Median $28.84 Typical High $53.70 | Facility | None | $22.39 | $28.84 | $53.70 |
Network Health Setting Professional Modifier None Typical Low $14.13 Median $19.05 Typical High $53.70 | Professional | None | $14.13 | $19.05 | $53.70 |
Prevea360 Setting Facility Modifier None Typical Low $15.14 Median $16.98 Typical High $23.99 | Facility | None | $15.14 | $16.98 | $23.99 |
Quartz Setting Professional Modifier None Typical Low $20.89 Median $44.67 Typical High $66.07 | Professional | None | $20.89 | $44.67 | $66.07 |
Quartz Setting Professional Modifier None Typical Low $8.91 Median $12.30 Typical High $48.98 | Professional | None | $8.91 | $12.30 | $48.98 |
Security Health Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $56.23 | Professional | None | $39.81 | $39.81 | $56.23 |
Security Health Setting Professional Modifier None Typical Low $56.23 Median $87.10 Typical High $131.83 | Professional | None | $56.23 | $87.10 | $131.83 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $9.33 Median $15.85 Typical High $70.79 | Professional | None | $9.33 | $15.85 | $70.79 |
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 $11.22 Median $11.22 Typical High $213.80 | Professional | 52 · Reduced service | $11.22 | $11.22 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $87.10 | Professional | 53 · Discontinued | $4.47 | $4.47 | $87.10 |
Where Wisconsin sits
The same service costs 10.0 times more in Vermont 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· 6th of 51
$28.84
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.