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 $33.88 Median $33.88 Typical High $43.65 | Facility | None | $33.88 | $33.88 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.88 Typical High $269.15 | Professional | None | $33.11 | $33.88 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $77.62 | Facility | None | $60.26 | $72.44 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $46.77 Typical High $204.17 | Professional | None | $13.80 | $46.77 | $204.17 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
CareSource Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $81.28 Typical High $107.15 | Facility | None | $69.18 | $81.28 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $47.86 Typical High $87.10 | Professional | None | $18.62 | $47.86 | $87.10 |
DeanCare Setting Facility Modifier None Typical Low $25.12 Median $138.04 Typical High $213.80 | Facility | None | $25.12 | $138.04 | $213.80 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $100.00 Typical High $223.87 | Facility | None | $23.44 | $100.00 | $223.87 |
Medica Setting Professional Modifier None Typical Low $16.60 Median $28.18 Typical High $91.20 | Professional | None | $16.60 | $28.18 | $91.20 |
Network Health Setting Facility Modifier None Typical Low $33.88 Median $42.66 Typical High $79.43 | Facility | None | $33.88 | $42.66 | $79.43 |
Network Health Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $79.43 | Professional | None | $20.89 | $28.18 | $79.43 |
Prevea360 Setting Facility Modifier None Typical Low $22.39 Median $25.12 Typical High $35.48 | Facility | None | $22.39 | $25.12 | $35.48 |
Quartz Setting Professional Modifier None Typical Low $30.90 Median $66.07 Typical High $117.49 | Professional | None | $30.90 | $66.07 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $13.18 Median $18.62 Typical High $72.44 | Professional | None | $13.18 | $18.62 | $72.44 |
Security Health Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Security Health Setting Professional Modifier None Typical Low $58.88 Median $114.82 Typical High $194.98 | Professional | None | $58.88 | $114.82 | $194.98 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $89.13 | Facility | None | $33.88 | $33.88 | $89.13 |
United Setting Professional Modifier None Typical Low $14.13 Median $24.55 Typical High $107.15 | Professional | None | $14.13 | $24.55 | $107.15 |
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 $16.60 Median $16.60 Typical High $134.90 | Professional | 52 · Reduced service | $16.60 | $16.60 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $53.70 | Professional | 53 · Discontinued | $6.76 | $6.76 | $53.70 |
Where Wisconsin sits
The same service costs 7.8 times more in Vermont than in Alabama. 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· 9th of 51
$42.66
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.