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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $165.96 | Professional | None | $26.92 | $26.92 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $58.88 Typical High $61.66 | Facility | None | $47.86 | $58.88 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $37.15 Typical High $109.65 | Professional | None | $9.55 | $37.15 | $109.65 |
CareSource Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $64.57 Typical High $85.11 | Facility | None | $56.23 | $64.57 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $38.02 Typical High $69.18 | Professional | None | $12.88 | $38.02 | $69.18 |
DeanCare Setting Facility Modifier None Typical Low $17.38 Median $69.18 Typical High $107.15 | Facility | None | $17.38 | $69.18 | $107.15 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $20.89 Typical High $147.91 | Facility | None | $17.38 | $20.89 | $147.91 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $22.39 Typical High $63.10 | Professional | None | $11.48 | $22.39 | $63.10 |
Network Health Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $39.81 | Facility | None | $21.38 | $21.38 | $39.81 |
Network Health Setting Professional Modifier None Typical Low $16.98 Median $22.91 Typical High $63.10 | Professional | None | $16.98 | $22.91 | $63.10 |
Prevea360 Setting Facility Modifier None Typical Low $17.38 Median $18.62 Typical High $28.84 | Facility | None | $17.38 | $18.62 | $28.84 |
Quartz Setting Professional Modifier None Typical Low $24.55 Median $52.48 Typical High $81.28 | Professional | None | $24.55 | $52.48 | $81.28 |
Quartz Setting Professional Modifier None Typical Low $10.72 Median $12.88 Typical High $58.88 | Professional | None | $10.72 | $12.88 | $58.88 |
Security Health Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $53.70 | Professional | None | $47.86 | $47.86 | $53.70 |
Security Health Setting Professional Modifier None Typical Low $53.70 Median $123.03 Typical High $158.49 | Professional | None | $53.70 | $123.03 | $158.49 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $26.92 | Facility | None | $22.39 | $22.39 | $26.92 |
United Setting Professional Modifier None Typical Low $9.33 Median $17.78 Typical High $74.13 | Professional | None | $9.33 | $17.78 | $74.13 |
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 $13.49 Median $13.49 Typical High $83.18 | Professional | 52 · Reduced service | $13.49 | $13.49 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $33.11 | Professional | 53 · Discontinued | $5.37 | $5.37 | $33.11 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in New York. 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· 6th of 51
$32.36
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.