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 $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $263.03 | Professional | None | $13.49 | $13.49 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $28.84 Typical High $30.90 | Facility | None | $23.99 | $28.84 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $18.62 Typical High $81.28 | Professional | None | $5.50 | $18.62 | $81.28 |
CareSource Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $32.36 Typical High $42.66 | Facility | None | $28.18 | $32.36 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $19.05 Typical High $34.67 | Professional | None | $7.41 | $19.05 | $34.67 |
DeanCare Setting Facility Modifier None Typical Low $10.00 Median $54.95 Typical High $87.10 | Facility | None | $10.00 | $54.95 | $87.10 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $11.22 Typical High $100.00 | Facility | None | $8.91 | $11.22 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $11.22 Typical High $36.31 | Professional | None | $6.76 | $11.22 | $36.31 |
Network Health Setting Facility Modifier None Typical Low $13.49 Median $17.38 Typical High $31.62 | Facility | None | $13.49 | $17.38 | $31.62 |
Network Health Setting Professional Modifier None Typical Low $8.32 Median $11.48 Typical High $31.62 | Professional | None | $8.32 | $11.48 | $31.62 |
Prevea360 Setting Facility Modifier None Typical Low $8.91 Median $10.00 Typical High $14.13 | Facility | None | $8.91 | $10.00 | $14.13 |
Quartz Setting Professional Modifier None Typical Low $12.30 Median $26.30 Typical High $46.77 | Professional | None | $12.30 | $26.30 | $46.77 |
Quartz Setting Professional Modifier None Typical Low $5.25 Median $7.41 Typical High $28.84 | Professional | None | $5.25 | $7.41 | $28.84 |
Security Health Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $58.88 | Professional | None | $23.99 | $23.99 | $58.88 |
Security Health Setting Professional Modifier None Typical Low $57.54 Median $58.88 Typical High $77.62 | Professional | None | $57.54 | $58.88 | $77.62 |
United Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $5.62 Median $9.77 Typical High $42.66 | Professional | None | $5.62 | $9.77 | $42.66 |
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 $6.76 Median $6.76 Typical High $131.83 | Professional | 52 · Reduced service | $6.76 | $6.76 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $52.48 | Professional | 53 · Discontinued | $2.69 | $2.69 | $52.48 |
Where Wisconsin sits
The same service costs 3.5 times more in Kansas than in Kentucky. 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· 5th of 51
$17.38
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.