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 $77.62 Median $77.62 Typical High $100.00 | Facility | None | $77.62 | $77.62 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $77.62 Typical High $1,445.44 | Professional | None | $75.86 | $77.62 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $165.96 Typical High $177.83 | Facility | None | $138.04 | $165.96 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $107.15 Typical High $467.74 | Professional | None | $31.62 | $107.15 | $467.74 |
CareSource Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $190.55 Typical High $245.47 | Facility | None | $162.18 | $190.55 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $109.65 Typical High $199.53 | Professional | None | $42.66 | $109.65 | $199.53 |
DeanCare Setting Facility Modifier None Typical Low $57.54 Median $316.23 Typical High $501.19 | Facility | None | $57.54 | $316.23 | $501.19 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $602.56 | Facility | None | $51.29 | $77.62 | $602.56 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $64.57 Typical High $208.93 | Professional | None | $38.90 | $64.57 | $208.93 |
Network Health Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $186.21 | Facility | None | $77.62 | $100.00 | $186.21 |
Network Health Setting Professional Modifier None Typical Low $47.86 Median $66.07 Typical High $181.97 | Professional | None | $47.86 | $66.07 | $181.97 |
Prevea360 Setting Facility Modifier None Typical Low $51.29 Median $57.54 Typical High $83.18 | Facility | None | $51.29 | $57.54 | $83.18 |
Quartz Setting Professional Modifier None Typical Low $70.79 Median $147.91 Typical High $213.80 | Professional | None | $70.79 | $147.91 | $213.80 |
Quartz Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $165.96 | Professional | None | $30.90 | $42.66 | $165.96 |
Security Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $154.88 | Professional | None | $138.04 | $138.04 | $154.88 |
Security Health Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $446.68 | Professional | None | $154.88 | $186.21 | $446.68 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $32.36 Median $56.23 Typical High $245.47 | Professional | None | $32.36 | $56.23 | $245.47 |
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 $38.90 Median $38.90 Typical High $724.44 | Professional | 52 · Reduced service | $38.90 | $38.90 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $288.40 | Professional | 53 · Discontinued | $15.49 | $15.49 | $288.40 |
Where Wisconsin sits
The same service costs 3.8 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· 11th of 51
$93.33
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.