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 $7.24 Median $7.24 Typical High $9.33 | Facility | None | $7.24 | $7.24 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.24 Typical High $72.44 | Professional | None | $7.08 | $7.24 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $15.85 Typical High $16.60 | Facility | None | $12.88 | $15.85 | $16.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $10.00 Typical High $43.65 | Professional | None | $2.95 | $10.00 | $43.65 |
CareSource Setting Facility Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Facility | None | $4.07 | $4.07 | $4.07 |
CareSource Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $17.78 Typical High $23.44 | Facility | None | $15.49 | $17.78 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $10.47 Typical High $19.05 | Professional | None | $3.89 | $10.47 | $19.05 |
DeanCare Setting Facility Modifier None Typical Low $5.37 Median $30.20 Typical High $46.77 | Facility | None | $5.37 | $30.20 | $46.77 |
Medica Setting Facility Modifier None Typical Low $5.37 Median $34.67 Typical High $77.62 | Facility | None | $5.37 | $34.67 | $77.62 |
Medica Setting Professional Modifier None Typical Low $3.55 Median $6.03 Typical High $19.95 | Professional | None | $3.55 | $6.03 | $19.95 |
Network Health Setting Facility Modifier None Typical Low $7.24 Median $9.33 Typical High $17.38 | Facility | None | $7.24 | $9.33 | $17.38 |
Network Health Setting Professional Modifier None Typical Low $4.57 Median $6.17 Typical High $16.98 | Professional | None | $4.57 | $6.17 | $16.98 |
Prevea360 Setting Facility Modifier None Typical Low $4.79 Median $5.50 Typical High $7.76 | Facility | None | $4.79 | $5.50 | $7.76 |
Quartz Setting Professional Modifier None Typical Low $6.61 Median $14.13 Typical High $25.12 | Professional | None | $6.61 | $14.13 | $25.12 |
Quartz Setting Professional Modifier None Typical Low $2.95 Median $3.89 Typical High $15.85 | Professional | None | $2.95 | $3.89 | $15.85 |
Security Health Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $12.88 | Professional | None | $6.03 | $6.03 | $12.88 |
Security Health Setting Professional Modifier None Typical Low $6.03 Median $30.90 Typical High $42.66 | Professional | None | $6.03 | $30.90 | $42.66 |
United Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $15.14 | Facility | None | $7.24 | $7.24 | $15.14 |
United Setting Professional Modifier None Typical Low $3.02 Median $5.13 Typical High $22.91 | Professional | None | $3.02 | $5.13 | $22.91 |
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 $3.63 Median $3.63 Typical High $39.81 | Professional | 52 · Reduced service | $3.63 | $3.63 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $15.85 | Professional | 53 · Discontinued | $1.45 | $1.45 | $15.85 |
Where Wisconsin sits
The same service costs 6.2 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· 10th of 51
$8.71
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.