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 $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $223.87 | Professional | None | $33.88 | $33.88 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $74.13 Typical High $77.62 | Facility | None | $61.66 | $74.13 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $47.86 Typical High $190.55 | Professional | None | $12.88 | $47.86 | $190.55 |
CareSource Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $83.18 Typical High $109.65 | Facility | None | $70.79 | $83.18 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $48.98 Typical High $89.13 | Professional | None | $17.38 | $48.98 | $89.13 |
DeanCare Setting Facility Modifier None Typical Low $23.44 Median $131.83 Typical High $204.17 | Facility | None | $23.44 | $131.83 | $204.17 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $26.92 Typical High $181.97 | Facility | None | $22.91 | $26.92 | $181.97 |
Medica Setting Professional Modifier None Typical Low $16.98 Median $28.18 Typical High $87.10 | Professional | None | $16.98 | $28.18 | $87.10 |
Network Health Setting Facility Modifier None Typical Low $33.88 Median $40.74 Typical High $75.86 | Facility | None | $33.88 | $40.74 | $75.86 |
Network Health Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $81.28 | Professional | None | $21.38 | $28.84 | $81.28 |
Prevea360 Setting Facility Modifier None Typical Low $22.91 Median $25.12 Typical High $36.31 | Facility | None | $22.91 | $25.12 | $36.31 |
Quartz Setting Professional Modifier None Typical Low $31.62 Median $67.61 Typical High $109.65 | Professional | None | $31.62 | $67.61 | $109.65 |
Quartz Setting Professional Modifier None Typical Low $13.49 Median $17.38 Typical High $74.13 | Professional | None | $13.49 | $17.38 | $74.13 |
Security Health Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $60.26 | Professional | None | $26.92 | $26.92 | $60.26 |
Security Health Setting Professional Modifier None Typical Low $26.92 Median $112.20 Typical High $199.53 | Professional | None | $26.92 | $112.20 | $199.53 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $75.86 | Facility | None | $33.88 | $33.88 | $75.86 |
United Setting Professional Modifier None Typical Low $14.13 Median $22.91 Typical High $100.00 | Professional | None | $14.13 | $22.91 | $100.00 |
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 $16.98 Median $16.98 Typical High $112.20 | Professional | 52 · Reduced service | $16.98 | $16.98 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $45.71 | Professional | 53 · Discontinued | $6.92 | $6.92 | $45.71 |
Where Wisconsin sits
The same service costs 4.8 times more in Kansas than in Texas. 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
$39.81
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.