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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $436.52 | Professional | None | $26.30 | $26.30 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $57.54 Typical High $60.26 | Facility | None | $46.77 | $57.54 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $37.15 Typical High $158.49 | Professional | None | $10.96 | $37.15 | $158.49 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $64.57 Typical High $85.11 | Facility | None | $54.95 | $64.57 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $38.02 Typical High $69.18 | Professional | None | $14.45 | $38.02 | $69.18 |
DeanCare Setting Facility Modifier None Typical Low $19.50 Median $109.65 Typical High $169.82 | Facility | None | $19.50 | $109.65 | $169.82 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $21.88 Typical High $199.53 | Facility | None | $17.78 | $21.88 | $199.53 |
Medica Setting Professional Modifier None Typical Low $13.18 Median $21.88 Typical High $72.44 | Professional | None | $13.18 | $21.88 | $72.44 |
Network Health Setting Facility Modifier None Typical Low $26.30 Median $33.88 Typical High $63.10 | Facility | None | $26.30 | $33.88 | $63.10 |
Network Health Setting Professional Modifier None Typical Low $16.60 Median $22.39 Typical High $61.66 | Professional | None | $16.60 | $22.39 | $61.66 |
Prevea360 Setting Facility Modifier None Typical Low $17.78 Median $19.95 Typical High $28.18 | Facility | None | $17.78 | $19.95 | $28.18 |
Quartz Setting Professional Modifier None Typical Low $24.55 Median $52.48 Typical High $91.20 | Professional | None | $24.55 | $52.48 | $91.20 |
Quartz Setting Professional Modifier None Typical Low $10.47 Median $14.45 Typical High $57.54 | Professional | None | $10.47 | $14.45 | $57.54 |
Security Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $46.77 | Professional | None | $22.39 | $22.39 | $46.77 |
Security Health Setting Professional Modifier None Typical Low $22.39 Median $64.57 Typical High $154.88 | Professional | None | $22.39 | $64.57 | $154.88 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $75.86 | Facility | None | $26.30 | $26.30 | $75.86 |
United Setting Professional Modifier None Typical Low $10.96 Median $18.62 Typical High $83.18 | Professional | None | $10.96 | $18.62 | $83.18 |
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 $13.18 Median $13.18 Typical High $218.78 | Professional | 52 · Reduced service | $13.18 | $13.18 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $87.10 | Professional | 53 · Discontinued | $5.25 | $5.25 | $87.10 |
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
$31.62
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.