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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $380.19 | Professional | None | $91.20 | $91.20 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $194.98 Typical High $208.93 | Facility | None | $162.18 | $194.98 | $208.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $109.65 Typical High $323.59 | Professional | None | $30.20 | $109.65 | $323.59 |
CareSource Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $295.12 | Facility | None | $190.55 | $223.87 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $194.98 Typical High $234.42 | Professional | None | $36.31 | $194.98 | $234.42 |
DeanCare Setting Facility Modifier None Typical Low $19.50 Median $120.23 Typical High $169.82 | Facility | None | $19.50 | $120.23 | $169.82 |
DeanCare Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $501.19 | Professional | None | $457.09 | $457.09 | $501.19 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $70.79 Typical High $363.08 | Facility | None | $19.50 | $70.79 | $363.08 |
Medica Setting Professional Modifier None Typical Low $17.78 Median $75.86 Typical High $380.19 | Professional | None | $17.78 | $75.86 | $380.19 |
Network Health Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $117.49 | Facility | None | $33.88 | $33.88 | $117.49 |
Network Health Setting Professional Modifier None Typical Low $42.66 Median $112.20 Typical High $213.80 | Professional | None | $42.66 | $112.20 | $213.80 |
Prevea360 Setting Facility Modifier None Typical Low $19.50 Median $61.66 Typical High $97.72 | Facility | None | $19.50 | $61.66 | $97.72 |
Quartz Setting Professional Modifier None Typical Low $83.18 Median $173.78 Typical High $251.19 | Professional | None | $83.18 | $173.78 | $251.19 |
Quartz Setting Professional Modifier None Typical Low $13.80 Median $36.31 Typical High $194.98 | Professional | None | $13.80 | $36.31 | $194.98 |
Security Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $162.18 | Professional | None | $22.39 | $22.39 | $162.18 |
Security Health Setting Professional Modifier None Typical Low $22.39 Median $218.78 Typical High $524.81 | Professional | None | $22.39 | $218.78 | $524.81 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $17.78 Median $45.71 Typical High $234.42 | Professional | None | $17.78 | $45.71 | $234.42 |
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 $45.71 Median $45.71 Typical High $190.55 | Professional | 52 · Reduced service | $45.71 | $45.71 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $75.86 | Professional | 53 · Discontinued | $18.20 | $18.20 | $75.86 |
Where Wisconsin sits
The same service costs 6.0 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· 3rd of 51
$100
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.