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 $21.38 Median $21.38 Typical High $27.54 | Facility | None | $21.38 | $21.38 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $21.38 Typical High $323.59 | Professional | None | $19.95 | $21.38 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $46.77 Typical High $48.98 | Facility | None | $38.90 | $46.77 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $30.20 Typical High $123.03 | Professional | None | $8.32 | $30.20 | $123.03 |
CareSource Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
CareSource Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $52.48 Typical High $69.18 | Facility | None | $44.67 | $52.48 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $30.90 Typical High $56.23 | Professional | None | $11.22 | $30.90 | $56.23 |
DeanCare Setting Facility Modifier None Typical Low $15.14 Median $83.18 Typical High $131.83 | Facility | None | $15.14 | $83.18 | $131.83 |
Medica Setting Facility Modifier None Typical Low $14.79 Median $21.38 Typical High $162.18 | Facility | None | $14.79 | $21.38 | $162.18 |
Medica Setting Professional Modifier None Typical Low $10.72 Median $17.78 Typical High $54.95 | Professional | None | $10.72 | $17.78 | $54.95 |
Network Health Setting Facility Modifier None Typical Low $21.38 Median $26.30 Typical High $47.86 | Facility | None | $21.38 | $26.30 | $47.86 |
Network Health Setting Professional Modifier None Typical Low $13.49 Median $18.20 Typical High $51.29 | Professional | None | $13.49 | $18.20 | $51.29 |
Prevea360 Setting Facility Modifier None Typical Low $14.45 Median $16.22 Typical High $22.91 | Facility | None | $14.45 | $16.22 | $22.91 |
Quartz Setting Professional Modifier None Typical Low $19.95 Median $41.69 Typical High $60.26 | Professional | None | $19.95 | $41.69 | $60.26 |
Quartz Setting Professional Modifier None Typical Low $8.51 Median $11.22 Typical High $46.77 | Professional | None | $8.51 | $11.22 | $46.77 |
Security Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $48.98 | Professional | None | $38.02 | $38.02 | $48.98 |
Security Health Setting Professional Modifier None Typical Low $48.98 Median $72.44 Typical High $125.89 | Professional | None | $48.98 | $72.44 | $125.89 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $21.38 | Facility | None | $18.20 | $18.20 | $21.38 |
United Setting Professional Modifier None Typical Low $8.91 Median $15.49 Typical High $64.57 | Professional | None | $8.91 | $15.49 | $64.57 |
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 $10.72 Median $10.72 Typical High $162.18 | Professional | 52 · Reduced service | $10.72 | $10.72 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $64.57 | Professional | 53 · Discontinued | $4.27 | $4.27 | $64.57 |
Where Wisconsin sits
The same service costs 10.2 times more in Vermont than in Maryland. 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
$26.30
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.