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 $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.49 Typical High $251.19 | Professional | None | $15.14 | $15.49 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $33.88 Typical High $35.48 | Facility | None | $27.54 | $33.88 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $21.88 Typical High $93.33 | Professional | None | $6.31 | $21.88 | $93.33 |
CareSource Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
CareSource Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $38.02 Typical High $50.12 | Facility | None | $32.36 | $38.02 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $22.39 Typical High $40.74 | Professional | None | $8.51 | $22.39 | $40.74 |
DeanCare Setting Facility Modifier None Typical Low $11.48 Median $64.57 Typical High $100.00 | Facility | None | $11.48 | $64.57 | $100.00 |
Medica Setting Facility Modifier None Typical Low $10.23 Median $12.88 Typical High $100.00 | Facility | None | $10.23 | $12.88 | $100.00 |
Medica Setting Professional Modifier None Typical Low $7.76 Median $12.88 Typical High $42.66 | Professional | None | $7.76 | $12.88 | $42.66 |
Network Health Setting Facility Modifier None Typical Low $15.49 Median $19.95 Typical High $37.15 | Facility | None | $15.49 | $19.95 | $37.15 |
Network Health Setting Professional Modifier None Typical Low $9.77 Median $13.18 Typical High $36.31 | Professional | None | $9.77 | $13.18 | $36.31 |
Prevea360 Setting Facility Modifier None Typical Low $10.23 Median $11.75 Typical High $16.60 | Facility | None | $10.23 | $11.75 | $16.60 |
Quartz Setting Professional Modifier None Typical Low $14.45 Median $30.90 Typical High $53.70 | Professional | None | $14.45 | $30.90 | $53.70 |
Quartz Setting Professional Modifier None Typical Low $6.17 Median $8.51 Typical High $33.88 | Professional | None | $6.17 | $8.51 | $33.88 |
Security Health Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $27.54 | Professional | None | $14.79 | $14.79 | $27.54 |
Security Health Setting Professional Modifier None Typical Low $14.79 Median $57.54 Typical High $91.20 | Professional | None | $14.79 | $57.54 | $91.20 |
United Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $15.49 | Facility | None | $4.47 | $4.47 | $15.49 |
United Setting Professional Modifier None Typical Low $6.46 Median $12.88 Typical High $48.98 | Professional | None | $6.46 | $12.88 | $48.98 |
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 $7.76 Median $7.76 Typical High $125.89 | Professional | 52 · Reduced service | $7.76 | $7.76 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $50.12 | Professional | 53 · Discontinued | $3.09 | $3.09 | $50.12 |
Where Wisconsin sits
The same service costs 3.1 times more in Kansas 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· 8th of 51
$18.62
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.