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 $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $446.68 | Professional | None | $33.88 | $33.88 | $446.68 |
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 $11.22 Median $36.31 Typical High $134.90 | Professional | None | $11.22 | $36.31 | $134.90 |
CareSource Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
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 $13.18 Median $47.86 Typical High $87.10 | Professional | None | $13.18 | $47.86 | $87.10 |
DeanCare Setting Facility Modifier None Typical Low $14.45 Median $102.33 Typical High $158.49 | Facility | None | $14.45 | $102.33 | $158.49 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $26.30 Typical High $131.83 | Facility | None | $14.45 | $26.30 | $131.83 |
Medica Setting Professional Modifier None Typical Low $16.22 Median $28.18 Typical High $77.62 | Professional | None | $16.22 | $28.18 | $77.62 |
Network Health Setting Facility Modifier None Typical Low $30.20 Median $33.88 Typical High $79.43 | Facility | None | $30.20 | $33.88 | $79.43 |
Network Health Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $56.23 | Professional | None | $20.89 | $28.18 | $56.23 |
Prevea360 Setting Facility Modifier None Typical Low $14.45 Median $22.39 Typical High $33.88 | Facility | None | $14.45 | $22.39 | $33.88 |
Quartz Setting Professional Modifier None Typical Low $30.90 Median $64.57 Typical High $85.11 | Professional | None | $30.90 | $64.57 | $85.11 |
Quartz Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $72.44 | Professional | None | $13.18 | $13.18 | $72.44 |
Security Health Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $58.88 | Professional | None | $28.18 | $28.18 | $58.88 |
Security Health Setting Professional Modifier None Typical Low $28.18 Median $81.28 Typical High $194.98 | Professional | None | $28.18 | $81.28 | $194.98 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $14.13 Median $22.39 Typical High $87.10 | Professional | None | $14.13 | $22.39 | $87.10 |
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 $223.87 | Professional | 52 · Reduced service | $16.60 | $16.60 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $89.13 | Professional | 53 · Discontinued | $6.76 | $6.76 | $89.13 |
Where Wisconsin sits
The same service costs 3.8 times more in Alaska than in Nebraska. 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
$34.67
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.