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 $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $60.26 | Professional | None | $4.79 | $4.79 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $10.23 Typical High $10.96 | Facility | None | $8.51 | $10.23 | $10.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.82 Median $6.61 Typical High $26.92 | Professional | None | $1.82 | $6.61 | $26.92 |
CareSource Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Facility | None | $2.75 | $2.75 | $2.75 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $11.48 Typical High $15.14 | Facility | None | $10.00 | $11.48 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $6.76 Typical High $12.30 | Professional | None | $2.45 | $6.76 | $12.30 |
DeanCare Setting Facility Modifier None Typical Low $3.24 Median $18.20 Typical High $28.18 | Facility | None | $3.24 | $18.20 | $28.18 |
Medica Setting Facility Modifier None Typical Low $3.16 Median $3.72 Typical High $100.00 | Facility | None | $3.16 | $3.72 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $12.02 | Professional | None | $2.40 | $3.98 | $12.02 |
Network Health Setting Facility Modifier None Typical Low $4.79 Median $5.62 Typical High $10.47 | Facility | None | $4.79 | $5.62 | $10.47 |
Network Health Setting Professional Modifier None Typical Low $3.02 Median $4.07 Typical High $11.22 | Professional | None | $3.02 | $4.07 | $11.22 |
Prevea360 Setting Facility Modifier None Typical Low $3.16 Median $3.55 Typical High $5.13 | Facility | None | $3.16 | $3.55 | $5.13 |
Quartz Setting Professional Modifier None Typical Low $4.47 Median $9.55 Typical High $15.49 | Professional | None | $4.47 | $9.55 | $15.49 |
Quartz Setting Professional Modifier None Typical Low $1.86 Median $2.45 Typical High $10.23 | Professional | None | $1.86 | $2.45 | $10.23 |
Security Health Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $8.51 | Professional | None | $3.80 | $3.80 | $8.51 |
Security Health Setting Professional Modifier None Typical Low $3.80 Median $21.88 Typical High $27.54 | Professional | None | $3.80 | $21.88 | $27.54 |
United Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
United Setting Professional Modifier None Typical Low $2.00 Median $3.47 Typical High $13.80 | Professional | None | $2.00 | $3.47 | $13.80 |
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 $2.40 Median $2.40 Typical High $30.20 | Professional | 52 · Reduced service | $2.40 | $2.40 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $0.95 Typical High $12.02 | Professional | 53 · Discontinued | $0.95 | $0.95 | $12.02 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 10th of 51
$5.62
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.