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 $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $162.18 | Professional | None | $15.85 | $15.85 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $33.88 Typical High $36.31 | Facility | None | $28.18 | $33.88 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $21.88 Typical High $64.57 | Professional | None | $5.25 | $21.88 | $64.57 |
CareSource Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $38.90 Typical High $51.29 | Facility | None | $33.11 | $38.90 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $22.91 Typical High $40.74 | Professional | None | $6.31 | $22.91 | $40.74 |
DeanCare Setting Facility Modifier None Typical Low $6.92 Median $38.02 Typical High $60.26 | Facility | None | $6.92 | $38.02 | $60.26 |
Medica Setting Facility Modifier None Typical Low $6.92 Median $12.30 Typical High $100.00 | Facility | None | $6.92 | $12.30 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.31 Median $10.72 Typical High $36.31 | Professional | None | $6.31 | $10.72 | $36.31 |
Network Health Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $21.88 | Facility | None | $12.02 | $12.02 | $21.88 |
Network Health Setting Professional Modifier None Typical Low $9.77 Median $13.49 Typical High $37.15 | Professional | None | $9.77 | $13.49 | $37.15 |
Prevea360 Setting Facility Modifier None Typical Low $6.92 Median $10.72 Typical High $16.98 | Facility | None | $6.92 | $10.72 | $16.98 |
Quartz Setting Professional Modifier None Typical Low $14.45 Median $30.90 Typical High $45.71 | Professional | None | $14.45 | $30.90 | $45.71 |
Quartz Setting Professional Modifier None Typical Low $5.01 Median $6.31 Typical High $33.88 | Professional | None | $5.01 | $6.31 | $33.88 |
Security Health Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | None | $28.18 | $28.18 | $33.88 |
Security Health Setting Professional Modifier None Typical Low $33.88 Median $38.02 Typical High $91.20 | Professional | None | $33.88 | $38.02 | $91.20 |
United Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $23.99 | Facility | None | $15.85 | $15.85 | $23.99 |
United Setting Professional Modifier None Typical Low $5.62 Median $10.47 Typical High $40.74 | Professional | None | $5.62 | $10.47 | $40.74 |
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 $7.94 Median $7.94 Typical High $81.28 | Professional | 52 · Reduced service | $7.94 | $7.94 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $32.36 | Professional | 53 · Discontinued | $3.16 | $3.16 | $32.36 |
Where Wisconsin sits
The same service costs 4.7 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· 4th of 51
$19.05
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.