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 $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $173.78 | Professional | None | $27.54 | $27.54 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $60.26 Typical High $63.10 | Facility | None | $48.98 | $60.26 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $32.36 Typical High $89.13 | Professional | None | $9.12 | $32.36 | $89.13 |
CareSource Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $67.61 Typical High $89.13 | Facility | None | $57.54 | $67.61 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $39.81 Typical High $72.44 | Professional | None | $11.48 | $39.81 | $72.44 |
DeanCare Setting Facility Modifier None Typical Low $15.49 Median $34.67 Typical High $50.12 | Facility | None | $15.49 | $34.67 | $50.12 |
Medica Setting Facility Modifier None Typical Low $15.49 Median $21.38 Typical High $117.49 | Facility | None | $15.49 | $21.38 | $117.49 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $18.20 Typical High $63.10 | Professional | None | $5.37 | $18.20 | $63.10 |
Network Health Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $35.48 | Facility | None | $10.00 | $10.00 | $35.48 |
Network Health Setting Professional Modifier None Typical Low $12.30 Median $22.91 Typical High $64.57 | Professional | None | $12.30 | $22.91 | $64.57 |
Prevea360 Setting Facility Modifier None Typical Low $15.49 Median $19.05 Typical High $29.51 | Facility | None | $15.49 | $19.05 | $29.51 |
Quartz Setting Professional Modifier None Typical Low $25.70 Median $54.95 Typical High $75.86 | Professional | None | $25.70 | $54.95 | $75.86 |
Quartz Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $60.26 | Professional | None | $10.96 | $11.48 | $60.26 |
Security Health Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $48.98 | Professional | None | $6.61 | $6.61 | $48.98 |
Security Health Setting Professional Modifier None Typical Low $6.61 Median $61.66 Typical High $162.18 | Professional | None | $6.61 | $61.66 | $162.18 |
United Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
United Setting Professional Modifier None Typical Low $9.55 Median $14.45 Typical High $70.79 | Professional | None | $9.55 | $14.45 | $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 $13.80 Median $13.80 Typical High $87.10 | Professional | 52 · Reduced service | $13.80 | $13.80 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $34.67 | Professional | 53 · Discontinued | $5.50 | $5.50 | $34.67 |
Where Wisconsin sits
The same service costs 11.2 times more in Alaska than in Kentucky. 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
$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.