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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $645.65 | Professional | None | $38.90 | $38.90 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $83.18 Typical High $89.13 | Facility | None | $69.18 | $83.18 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $53.70 Typical High $234.42 | Professional | None | $15.85 | $53.70 | $234.42 |
CareSource Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $95.50 Typical High $125.89 | Facility | None | $81.28 | $95.50 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $56.23 Typical High $100.00 | Professional | None | $21.38 | $56.23 | $100.00 |
DeanCare Setting Facility Modifier None Typical Low $28.84 Median $158.49 Typical High $251.19 | Facility | None | $28.84 | $158.49 | $251.19 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $32.36 Typical High $275.42 | Facility | None | $25.70 | $32.36 | $275.42 |
Medica Setting Professional Modifier None Typical Low $19.50 Median $32.36 Typical High $104.71 | Professional | None | $19.50 | $32.36 | $104.71 |
Network Health Setting Facility Modifier None Typical Low $38.90 Median $50.12 Typical High $93.33 | Facility | None | $38.90 | $50.12 | $93.33 |
Network Health Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $91.20 | Professional | None | $23.99 | $33.11 | $91.20 |
Prevea360 Setting Facility Modifier None Typical Low $25.70 Median $28.84 Typical High $41.69 | Facility | None | $25.70 | $28.84 | $41.69 |
Quartz Setting Professional Modifier None Typical Low $36.31 Median $75.86 Typical High $134.90 | Professional | None | $36.31 | $75.86 | $134.90 |
Quartz Setting Professional Modifier None Typical Low $15.49 Median $21.38 Typical High $83.18 | Professional | None | $15.49 | $21.38 | $83.18 |
Security Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $69.18 | Professional | None | $33.11 | $33.11 | $69.18 |
Security Health Setting Professional Modifier None Typical Low $33.11 Median $177.83 Typical High $223.87 | Professional | None | $33.11 | $177.83 | $223.87 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $97.72 | Facility | None | $38.90 | $38.90 | $97.72 |
United Setting Professional Modifier None Typical Low $16.22 Median $32.36 Typical High $123.03 | Professional | None | $16.22 | $32.36 | $123.03 |
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 $19.50 Median $19.50 Typical High $323.59 | Professional | 52 · Reduced service | $19.50 | $19.50 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $128.82 | Professional | 53 · Discontinued | $7.76 | $7.76 | $128.82 |
Where Wisconsin sits
The same service costs 4.1 times more in Kansas 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· 8th of 51
$46.77
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.