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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $50.12 Typical High $758.58 | Professional | None | $38.90 | $50.12 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $109.65 Typical High $114.82 | Facility | None | $89.13 | $109.65 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $69.18 Typical High $204.17 | Professional | None | $16.60 | $69.18 | $204.17 |
CareSource Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $162.18 | Facility | None | $104.71 | $123.03 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $72.44 Typical High $131.83 | Professional | None | $19.95 | $72.44 | $131.83 |
DeanCare Setting Facility Modifier None Typical Low $22.39 Median $123.03 Typical High $194.98 | Facility | None | $22.39 | $123.03 | $194.98 |
Medica Setting Facility Modifier None Typical Low $22.39 Median $38.90 Typical High $275.42 | Facility | None | $22.39 | $38.90 | $275.42 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $34.67 Typical High $114.82 | Professional | None | $20.89 | $34.67 | $114.82 |
Network Health Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $70.79 | Facility | None | $38.90 | $38.90 | $70.79 |
Network Health Setting Professional Modifier None Typical Low $31.62 Median $42.66 Typical High $117.49 | Professional | None | $31.62 | $42.66 | $117.49 |
Prevea360 Setting Facility Modifier None Typical Low $22.39 Median $33.88 Typical High $53.70 | Facility | None | $22.39 | $33.88 | $53.70 |
Quartz Setting Professional Modifier None Typical Low $46.77 Median $97.72 Typical High $144.54 | Professional | None | $46.77 | $97.72 | $144.54 |
Quartz Setting Professional Modifier None Typical Low $16.60 Median $19.95 Typical High $109.65 | Professional | None | $16.60 | $19.95 | $109.65 |
Security Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $89.13 | Professional | None | $25.70 | $25.70 | $89.13 |
Security Health Setting Professional Modifier None Typical Low $25.70 Median $229.09 Typical High $295.12 | Professional | None | $25.70 | $229.09 | $295.12 |
United Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier None Typical Low $20.42 Median $33.11 Typical High $128.82 | Professional | None | $20.42 | $33.11 | $128.82 |
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 $25.12 Median $25.12 Typical High $380.19 | Professional | 52 · Reduced service | $25.12 | $25.12 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $151.36 | Professional | 53 · Discontinued | $10.00 | $10.00 | $151.36 |
Where Wisconsin sits
The same service costs 3.9 times more in Alaska than in South Carolina. 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· 6th of 51
$57.54
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.