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 $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $275.42 | Professional | None | $23.99 | $23.99 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $51.29 Typical High $54.95 | Facility | None | $42.66 | $51.29 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $33.11 Typical High $114.82 | Professional | None | $7.94 | $33.11 | $114.82 |
CareSource Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $57.54 Typical High $75.86 | Facility | None | $50.12 | $57.54 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $33.88 Typical High $61.66 | Professional | None | $10.47 | $33.88 | $61.66 |
DeanCare Setting Facility Modifier None Typical Low $14.13 Median $79.43 Typical High $123.03 | Facility | None | $14.13 | $79.43 | $123.03 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $18.62 Typical High $128.82 | Facility | None | $14.13 | $18.62 | $128.82 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $19.95 Typical High $54.95 | Professional | None | $11.48 | $19.95 | $54.95 |
Network Health Setting Facility Modifier None Typical Low $23.99 Median $24.55 Typical High $45.71 | Facility | None | $23.99 | $24.55 | $45.71 |
Network Health Setting Professional Modifier None Typical Low $14.79 Median $20.42 Typical High $56.23 | Professional | None | $14.79 | $20.42 | $56.23 |
Prevea360 Setting Facility Modifier None Typical Low $14.13 Median $16.22 Typical High $25.12 | Facility | None | $14.13 | $16.22 | $25.12 |
Quartz Setting Professional Modifier None Typical Low $21.88 Median $46.77 Typical High $69.18 | Professional | None | $21.88 | $46.77 | $69.18 |
Quartz Setting Professional Modifier None Typical Low $9.33 Median $10.47 Typical High $51.29 | Professional | None | $9.33 | $10.47 | $51.29 |
Security Health Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $42.66 | Professional | None | $16.22 | $16.22 | $42.66 |
Security Health Setting Professional Modifier None Typical Low $16.22 Median $63.10 Typical High $138.04 | Professional | None | $16.22 | $63.10 | $138.04 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $10.00 Median $17.38 Typical High $61.66 | Professional | None | $10.00 | $17.38 | $61.66 |
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 $12.02 Median $12.02 Typical High $138.04 | Professional | 52 · Reduced service | $12.02 | $12.02 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $54.95 | Professional | 53 · Discontinued | $4.79 | $4.79 | $54.95 |
Where Wisconsin sits
The same service costs 3.8 times more in Kansas than in Delaware. 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· 7th of 51
$27.54
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.