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 $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $288.40 | Professional | None | $25.70 | $25.70 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $56.23 Typical High $58.88 | Facility | None | $45.71 | $56.23 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $36.31 Typical High $154.88 | Professional | None | $10.72 | $36.31 | $154.88 |
CareSource Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $61.66 Typical High $81.28 | Facility | None | $53.70 | $61.66 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $36.31 Typical High $67.61 | Professional | None | $14.13 | $36.31 | $67.61 |
DeanCare Setting Facility Modifier None Typical Low $19.05 Median $107.15 Typical High $165.96 | Facility | None | $19.05 | $107.15 | $165.96 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $21.38 Typical High $190.55 | Facility | None | $17.38 | $21.38 | $190.55 |
Medica Setting Professional Modifier None Typical Low $12.59 Median $21.38 Typical High $70.79 | Professional | None | $12.59 | $21.38 | $70.79 |
Network Health Setting Facility Modifier None Typical Low $25.70 Median $33.11 Typical High $61.66 | Facility | None | $25.70 | $33.11 | $61.66 |
Network Health Setting Professional Modifier None Typical Low $16.22 Median $21.88 Typical High $60.26 | Professional | None | $16.22 | $21.88 | $60.26 |
Prevea360 Setting Facility Modifier None Typical Low $17.38 Median $19.50 Typical High $27.54 | Facility | None | $17.38 | $19.50 | $27.54 |
Quartz Setting Professional Modifier None Typical Low $23.44 Median $48.98 Typical High $70.79 | Professional | None | $23.44 | $48.98 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $10.23 Median $14.13 Typical High $56.23 | Professional | None | $10.23 | $14.13 | $56.23 |
Security Health Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $45.71 | Professional | None | $21.88 | $21.88 | $45.71 |
Security Health Setting Professional Modifier None Typical Low $21.88 Median $117.49 Typical High $151.36 | Professional | None | $21.88 | $117.49 | $151.36 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $10.72 Median $18.20 Typical High $81.28 | Professional | None | $10.72 | $18.20 | $81.28 |
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 $12.88 Median $12.88 Typical High $144.54 | Professional | 52 · Reduced service | $12.88 | $12.88 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $57.54 | Professional | 53 · Discontinued | $5.13 | $5.13 | $57.54 |
Where Wisconsin sits
The same service costs 3.0 times more in Alaska than in Texas. 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
$30.90
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.