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 $7.76 Median $7.94 Typical High $10.47 | Facility | None | $7.76 | $7.94 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $83.18 | Professional | None | $7.94 | $7.94 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $17.38 Typical High $18.62 | Facility | None | $14.45 | $17.38 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $11.22 Typical High $48.98 | Professional | None | $3.31 | $11.22 | $48.98 |
CareSource Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Facility | None | $4.57 | $4.57 | $4.57 |
CareSource Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $19.95 Typical High $26.30 | Facility | None | $16.98 | $19.95 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $11.75 Typical High $20.89 | Professional | None | $4.37 | $11.75 | $20.89 |
DeanCare Setting Facility Modifier None Typical Low $6.03 Median $33.11 Typical High $51.29 | Facility | None | $6.03 | $33.11 | $51.29 |
Medica Setting Facility Modifier None Typical Low $7.94 Median $69.18 Typical High $120.23 | Facility | None | $7.94 | $69.18 | $120.23 |
Medica Setting Professional Modifier None Typical Low $3.98 Median $6.76 Typical High $25.70 | Professional | None | $3.98 | $6.76 | $25.70 |
Network Health Setting Facility Modifier None Typical Low $7.94 Median $10.23 Typical High $19.05 | Facility | None | $7.94 | $10.23 | $19.05 |
Network Health Setting Professional Modifier None Typical Low $5.01 Median $6.76 Typical High $19.05 | Professional | None | $5.01 | $6.76 | $19.05 |
Prevea360 Setting Facility Modifier None Typical Low $5.37 Median $6.03 Typical High $8.51 | Facility | None | $5.37 | $6.03 | $8.51 |
Quartz Setting Professional Modifier None Typical Low $7.41 Median $15.85 Typical High $28.18 | Professional | None | $7.41 | $15.85 | $28.18 |
Quartz Setting Professional Modifier None Typical Low $3.24 Median $4.37 Typical High $17.38 | Professional | None | $3.24 | $4.37 | $17.38 |
Security Health Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $14.13 | Professional | None | $9.33 | $9.33 | $14.13 |
Security Health Setting Professional Modifier None Typical Low $9.33 Median $36.31 Typical High $46.77 | Professional | None | $9.33 | $36.31 | $46.77 |
United Setting Facility Modifier None Typical Low $2.24 Median $7.94 Typical High $20.89 | Facility | None | $2.24 | $7.94 | $20.89 |
United Setting Professional Modifier None Typical Low $3.39 Median $5.89 Typical High $25.70 | Professional | None | $3.39 | $5.89 | $25.70 |
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 $3.98 Median $3.98 Typical High $41.69 | Professional | 52 · Reduced service | $3.98 | $3.98 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $16.60 | Professional | 53 · Discontinued | $1.62 | $1.62 | $16.60 |
Where Wisconsin sits
The same service costs 10.0 times more in Minnesota 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· 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.