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 $173.78 | Professional | None | $22.39 | $22.39 | $173.78 |
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 $7.59 Median $31.62 Typical High $97.72 | Professional | None | $7.59 | $31.62 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
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 $8.91 Median $32.36 Typical High $58.88 | Professional | None | $8.91 | $32.36 | $58.88 |
DeanCare Setting Facility Modifier None Typical Low $11.75 Median $66.07 Typical High $102.33 | Facility | None | $11.75 | $66.07 | $102.33 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $17.78 Typical High $100.00 | Facility | None | $11.75 | $17.78 | $100.00 |
Medica Setting Professional Modifier None Typical Low $10.96 Median $18.62 Typical High $52.48 | Professional | None | $10.96 | $18.62 | $52.48 |
Network Health Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $38.02 | Facility | None | $20.42 | $20.42 | $38.02 |
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 $11.75 Median $15.49 Typical High $23.99 | Facility | None | $11.75 | $15.49 | $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 $8.91 Typical High $48.98 | Professional | None | $8.91 | $8.91 | $48.98 |
Security Health Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $74.13 | Professional | None | $39.81 | $39.81 | $74.13 |
Security Health Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $131.83 | Professional | None | $54.95 | $74.13 | $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 $15.14 Typical High $57.54 | Professional | None | $9.33 | $15.14 | $57.54 |
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 $87.10 | Professional | 52 · Reduced service | $11.22 | $11.22 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $34.67 | Professional | 53 · Discontinued | $4.47 | $4.47 | $34.67 |
Where Wisconsin sits
The same service costs 3.6 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· 3rd of 51
$27.54
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.