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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $295.12 | Professional | None | $17.38 | $17.38 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $38.02 Typical High $39.81 | Facility | None | $31.62 | $38.02 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $22.91 Typical High $57.54 | Professional | None | $7.24 | $22.91 | $57.54 |
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 $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $43.65 Typical High $56.23 | Facility | None | $37.15 | $43.65 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $25.12 Typical High $45.71 | Professional | None | $9.55 | $25.12 | $45.71 |
DeanCare Setting Facility Modifier None Typical Low $12.88 Median $29.51 Typical High $43.65 | Facility | None | $12.88 | $29.51 | $43.65 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $17.38 Typical High $97.72 | Facility | None | $11.75 | $17.38 | $97.72 |
Medica Setting Professional Modifier None Typical Low $4.68 Median $12.59 Typical High $47.86 | Professional | None | $4.68 | $12.59 | $47.86 |
Network Health Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $22.39 | Facility | None | $8.71 | $8.71 | $22.39 |
Network Health Setting Professional Modifier None Typical Low $10.72 Median $14.45 Typical High $41.69 | Professional | None | $10.72 | $14.45 | $41.69 |
Prevea360 Setting Facility Modifier None Typical Low $11.75 Median $13.18 Typical High $18.62 | Facility | None | $11.75 | $13.18 | $18.62 |
Quartz Setting Professional Modifier None Typical Low $16.22 Median $34.67 Typical High $61.66 | Professional | None | $16.22 | $34.67 | $61.66 |
Quartz Setting Professional Modifier None Typical Low $6.92 Median $9.55 Typical High $38.02 | Professional | None | $6.92 | $9.55 | $38.02 |
Security Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | None | $30.20 | $30.20 | $30.90 |
Security Health Setting Professional Modifier None Typical Low $30.20 Median $79.43 Typical High $102.33 | Professional | None | $30.20 | $79.43 | $102.33 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $17.38 | Facility | None | $5.13 | $5.13 | $17.38 |
United Setting Professional Modifier None Typical Low $6.17 Median $11.75 Typical High $54.95 | Professional | None | $6.17 | $11.75 | $54.95 |
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 $8.71 Median $8.71 Typical High $147.91 | Professional | 52 · Reduced service | $8.71 | $8.71 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $58.88 | Professional | 53 · Discontinued | $3.47 | $3.47 | $58.88 |
Where Wisconsin sits
The same service costs 8.1 times more in Vermont 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· 10th of 51
$20.89
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.