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 $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $389.05 | Professional | None | $10.47 | $10.47 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $22.91 Typical High $23.99 | Facility | None | $19.05 | $22.91 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $14.79 Typical High $60.26 | Professional | None | $4.07 | $14.79 | $60.26 |
CareSource Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $25.12 Typical High $33.11 | Facility | None | $21.88 | $25.12 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $14.79 Typical High $27.54 | Professional | None | $5.37 | $14.79 | $27.54 |
DeanCare Setting Facility Modifier None Typical Low $7.41 Median $40.74 Typical High $64.57 | Facility | None | $7.41 | $40.74 | $64.57 |
Medica Setting Facility Modifier None Typical Low $7.08 Median $8.51 Typical High $100.00 | Facility | None | $7.08 | $8.51 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.25 Median $8.71 Typical High $26.92 | Professional | None | $5.25 | $8.71 | $26.92 |
Network Health Setting Facility Modifier None Typical Low $10.47 Median $12.88 Typical High $23.44 | Facility | None | $10.47 | $12.88 | $23.44 |
Network Health Setting Professional Modifier None Typical Low $6.61 Median $8.91 Typical High $25.12 | Professional | None | $6.61 | $8.91 | $25.12 |
Prevea360 Setting Facility Modifier None Typical Low $7.08 Median $7.94 Typical High $11.22 | Facility | None | $7.08 | $7.94 | $11.22 |
Quartz Setting Professional Modifier None Typical Low $9.55 Median $20.42 Typical High $34.67 | Professional | None | $9.55 | $20.42 | $34.67 |
Quartz Setting Professional Modifier None Typical Low $4.17 Median $5.37 Typical High $22.91 | Professional | None | $4.17 | $5.37 | $22.91 |
Security Health Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $18.62 | Professional | None | $8.51 | $8.51 | $18.62 |
Security Health Setting Professional Modifier None Typical Low $8.51 Median $47.86 Typical High $61.66 | Professional | None | $8.51 | $47.86 | $61.66 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $23.99 | Facility | None | $10.47 | $10.47 | $23.99 |
United Setting Professional Modifier None Typical Low $4.37 Median $7.59 Typical High $31.62 | Professional | None | $4.37 | $7.59 | $31.62 |
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 $5.25 Median $5.25 Typical High $194.98 | Professional | 52 · Reduced service | $5.25 | $5.25 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $79.43 | Professional | 53 · Discontinued | $2.09 | $2.09 | $79.43 |
Where Wisconsin sits
The same service costs 3.5 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· 8th of 51
$12.59
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.