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 $363.08 | Professional | None | $26.92 | $26.92 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $58.88 Typical High $61.66 | Facility | None | $48.98 | $58.88 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $38.02 Typical High $165.96 | Professional | None | $11.22 | $38.02 | $165.96 |
CareSource Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $87.10 | Facility | None | $56.23 | $66.07 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $38.90 Typical High $70.79 | Professional | None | $14.79 | $38.90 | $70.79 |
DeanCare Setting Facility Modifier None Typical Low $19.95 Median $112.20 Typical High $173.78 | Facility | None | $19.95 | $112.20 | $173.78 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $22.91 Typical High $138.04 | Facility | None | $18.20 | $22.91 | $138.04 |
Medica Setting Professional Modifier None Typical Low $13.49 Median $22.91 Typical High $74.13 | Professional | None | $13.49 | $22.91 | $74.13 |
Network Health Setting Facility Modifier None Typical Low $26.92 Median $34.67 Typical High $64.57 | Facility | None | $26.92 | $34.67 | $64.57 |
Network Health Setting Professional Modifier None Typical Low $16.98 Median $22.91 Typical High $64.57 | Professional | None | $16.98 | $22.91 | $64.57 |
Prevea360 Setting Facility Modifier None Typical Low $18.20 Median $20.42 Typical High $28.84 | Facility | None | $18.20 | $20.42 | $28.84 |
Quartz Setting Professional Modifier None Typical Low $25.12 Median $53.70 Typical High $95.50 | Professional | None | $25.12 | $53.70 | $95.50 |
Quartz Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $58.88 | Professional | None | $10.72 | $14.79 | $58.88 |
Security Health Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $47.86 | Professional | None | $23.44 | $23.44 | $47.86 |
Security Health Setting Professional Modifier None Typical Low $23.44 Median $91.20 Typical High $158.49 | Professional | None | $23.44 | $91.20 | $158.49 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $75.86 | Facility | None | $26.92 | $26.92 | $75.86 |
United Setting Professional Modifier None Typical Low $11.22 Median $19.50 Typical High $87.10 | Professional | None | $11.22 | $19.50 | $87.10 |
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 $181.97 | Professional | 52 · Reduced service | $13.49 | $13.49 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $74.13 | Professional | 53 · Discontinued | $5.50 | $5.50 | $74.13 |
Where Wisconsin sits
The same service costs 4.2 times more in Kansas than in Nebraska. 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· 9th 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.