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 $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $173.78 | Professional | None | $11.75 | $11.75 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $25.70 Typical High $26.92 | Facility | None | $20.89 | $25.70 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.47 Median $16.60 Typical High $66.07 | Professional | None | $4.47 | $16.60 | $66.07 |
CareSource Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $28.18 Typical High $37.15 | Facility | None | $24.55 | $28.18 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $16.60 Typical High $30.90 | Professional | None | $6.03 | $16.60 | $30.90 |
DeanCare Setting Facility Modifier None Typical Low $8.13 Median $45.71 Typical High $70.79 | Facility | None | $8.13 | $45.71 | $70.79 |
Medica Setting Facility Modifier None Typical Low $7.76 Median $9.12 Typical High $100.00 | Facility | None | $7.76 | $9.12 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.89 Median $9.77 Typical High $30.20 | Professional | None | $5.89 | $9.77 | $30.20 |
Network Health Setting Facility Modifier None Typical Low $11.75 Median $14.13 Typical High $26.30 | Facility | None | $11.75 | $14.13 | $26.30 |
Network Health Setting Professional Modifier None Typical Low $7.41 Median $10.00 Typical High $27.54 | Professional | None | $7.41 | $10.00 | $27.54 |
Prevea360 Setting Facility Modifier None Typical Low $7.76 Median $8.91 Typical High $12.59 | Facility | None | $7.76 | $8.91 | $12.59 |
Quartz Setting Professional Modifier None Typical Low $10.72 Median $22.91 Typical High $38.02 | Professional | None | $10.72 | $22.91 | $38.02 |
Quartz Setting Professional Modifier None Typical Low $4.68 Median $6.03 Typical High $25.70 | Professional | None | $4.68 | $6.03 | $25.70 |
Security Health Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $20.89 | Professional | None | $9.33 | $9.33 | $20.89 |
Security Health Setting Professional Modifier None Typical Low $9.33 Median $53.70 Typical High $69.18 | Professional | None | $9.33 | $53.70 | $69.18 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $25.70 | Facility | None | $11.75 | $11.75 | $25.70 |
United Setting Professional Modifier None Typical Low $4.90 Median $7.94 Typical High $34.67 | Professional | None | $4.90 | $7.94 | $34.67 |
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 $5.89 Median $5.89 Typical High $87.10 | Professional | 52 · Reduced service | $5.89 | $5.89 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $34.67 | Professional | 53 · Discontinued | $2.34 | $2.34 | $34.67 |
Where Wisconsin sits
The same service costs 4.4 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
$14.13
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.