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 $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $77.62 | Professional | None | $14.13 | $14.13 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $30.20 Typical High $32.36 | Facility | None | $25.12 | $30.20 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $19.50 Typical High $61.66 | Professional | None | $4.68 | $19.50 | $61.66 |
CareSource Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $33.88 Typical High $44.67 | Facility | None | $28.84 | $33.88 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $19.95 Typical High $36.31 | Professional | None | $5.62 | $19.95 | $36.31 |
DeanCare Setting Facility Modifier None Typical Low $7.41 Median $41.69 Typical High $64.57 | Facility | None | $7.41 | $41.69 | $64.57 |
Medica Setting Facility Modifier None Typical Low $7.41 Median $10.96 Typical High $100.00 | Facility | None | $7.41 | $10.96 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $11.75 Typical High $32.36 | Professional | None | $6.76 | $11.75 | $32.36 |
Network Health Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $23.99 | Facility | None | $12.88 | $12.88 | $23.99 |
Network Health Setting Professional Modifier None Typical Low $8.71 Median $12.02 Typical High $33.11 | Professional | None | $8.71 | $12.02 | $33.11 |
Prevea360 Setting Facility Modifier None Typical Low $7.41 Median $9.55 Typical High $15.14 | Facility | None | $7.41 | $9.55 | $15.14 |
Quartz Setting Professional Modifier None Typical Low $12.88 Median $27.54 Typical High $40.74 | Professional | None | $12.88 | $27.54 | $40.74 |
Quartz Setting Professional Modifier None Typical Low $5.50 Median $5.62 Typical High $30.20 | Professional | None | $5.50 | $5.62 | $30.20 |
Security Health Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $25.12 | Professional | None | $8.71 | $8.71 | $25.12 |
Security Health Setting Professional Modifier None Typical Low $8.71 Median $64.57 Typical High $81.28 | Professional | None | $8.71 | $64.57 | $81.28 |
United Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $18.20 | Facility | None | $14.13 | $14.13 | $18.20 |
United Setting Professional Modifier None Typical Low $5.89 Median $9.33 Typical High $36.31 | Professional | None | $5.89 | $9.33 | $36.31 |
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 $7.08 Median $7.08 Typical High $38.90 | Professional | 52 · Reduced service | $7.08 | $7.08 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $15.49 | Professional | 53 · Discontinued | $2.82 | $2.82 | $15.49 |
Where Wisconsin sits
The same service costs 3.4 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· 5th of 51
$16.60
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.