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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $223.87 | Professional | None | $40.74 | $40.74 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $89.13 Typical High $93.33 | Facility | None | $74.13 | $89.13 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $44.67 Typical High $165.96 | Professional | None | $14.13 | $44.67 | $165.96 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $100.00 Typical High $131.83 | Facility | None | $85.11 | $100.00 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $58.88 Typical High $107.15 | Professional | None | $16.60 | $58.88 | $107.15 |
DeanCare Setting Facility Modifier None Typical Low $17.38 Median $128.82 Typical High $199.53 | Facility | None | $17.38 | $128.82 | $199.53 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $32.36 Typical High $162.18 | Facility | None | $17.38 | $32.36 | $162.18 |
Medica Setting Professional Modifier None Typical Low $19.95 Median $33.88 Typical High $95.50 | Professional | None | $19.95 | $33.88 | $95.50 |
Network Health Setting Facility Modifier None Typical Low $37.15 Median $40.74 Typical High $97.72 | Facility | None | $37.15 | $40.74 | $97.72 |
Network Health Setting Professional Modifier None Typical Low $25.70 Median $33.88 Typical High $97.72 | Professional | None | $25.70 | $33.88 | $97.72 |
Prevea360 Setting Facility Modifier None Typical Low $17.38 Median $28.18 Typical High $43.65 | Facility | None | $17.38 | $28.18 | $43.65 |
Quartz Setting Professional Modifier None Typical Low $38.02 Median $77.62 Typical High $102.33 | Professional | None | $38.02 | $77.62 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $15.85 Median $16.60 Typical High $89.13 | Professional | None | $15.85 | $16.60 | $89.13 |
Security Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $72.44 | Professional | None | $34.67 | $34.67 | $72.44 |
Security Health Setting Professional Modifier None Typical Low $34.67 Median $186.21 Typical High $239.88 | Professional | None | $34.67 | $186.21 | $239.88 |
United Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
United Setting Professional Modifier None Typical Low $16.98 Median $27.54 Typical High $107.15 | Professional | None | $16.98 | $27.54 | $107.15 |
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 $20.42 Median $20.42 Typical High $112.20 | Professional | 52 · Reduced service | $20.42 | $20.42 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $45.71 | Professional | 53 · Discontinued | $8.13 | $8.13 | $45.71 |
Where Wisconsin sits
The same service costs 4.2 times more in Alaska than in Oklahoma. 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· 6th of 51
$43.65
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.