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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $190.55 | Professional | None | $23.44 | $23.44 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $51.29 Typical High $53.70 | Facility | None | $42.66 | $51.29 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $33.11 Typical High $131.83 | Professional | None | $8.91 | $33.11 | $131.83 |
CareSource Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $57.54 Typical High $75.86 | Facility | None | $50.12 | $57.54 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $33.88 Typical High $61.66 | Professional | None | $12.02 | $33.88 | $61.66 |
DeanCare Setting Facility Modifier None Typical Low $16.22 Median $89.13 Typical High $138.04 | Facility | None | $16.22 | $89.13 | $138.04 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $18.62 Typical High $251.19 | Facility | None | $15.85 | $18.62 | $251.19 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $19.95 Typical High $58.88 | Professional | None | $11.75 | $19.95 | $58.88 |
Network Health Setting Facility Modifier None Typical Low $23.44 Median $28.18 Typical High $51.29 | Facility | None | $23.44 | $28.18 | $51.29 |
Network Health Setting Professional Modifier None Typical Low $14.79 Median $19.95 Typical High $56.23 | Professional | None | $14.79 | $19.95 | $56.23 |
Prevea360 Setting Facility Modifier None Typical Low $15.85 Median $17.38 Typical High $25.12 | Facility | None | $15.85 | $17.38 | $25.12 |
Quartz Setting Professional Modifier None Typical Low $21.88 Median $46.77 Typical High $75.86 | Professional | None | $21.88 | $46.77 | $75.86 |
Quartz Setting Professional Modifier None Typical Low $9.33 Median $12.02 Typical High $51.29 | Professional | None | $9.33 | $12.02 | $51.29 |
Security Health Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $72.44 | Professional | None | $41.69 | $41.69 | $72.44 |
Security Health Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $138.04 | Professional | None | $72.44 | $72.44 | $138.04 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $9.77 Median $15.85 Typical High $69.18 | Professional | None | $9.77 | $15.85 | $69.18 |
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 $11.75 Median $11.75 Typical High $95.50 | Professional | 52 · Reduced service | $11.75 | $11.75 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $38.02 | Professional | 53 · Discontinued | $4.79 | $4.79 | $38.02 |
Where Wisconsin sits
The same service costs 5.5 times more in Kansas than in Georgia. 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
$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.