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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $275.42 | Professional | None | $104.71 | $104.71 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $239.88 | Facility | None | $190.55 | $229.09 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $147.91 Typical High $467.74 | Professional | None | $35.48 | $147.91 | $467.74 |
CareSource Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $257.04 Typical High $338.84 | Facility | None | $218.78 | $257.04 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $151.36 Typical High $275.42 | Professional | None | $42.66 | $151.36 | $275.42 |
DeanCare Setting Facility Modifier None Typical Low $57.54 Median $316.23 Typical High $501.19 | Facility | None | $57.54 | $316.23 | $501.19 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $83.18 Typical High $416.87 | Facility | None | $57.54 | $83.18 | $416.87 |
Medica Setting Professional Modifier None Typical Low $51.29 Median $87.10 Typical High $245.47 | Professional | None | $51.29 | $87.10 | $245.47 |
Network Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $186.21 | Facility | None | $100.00 | $100.00 | $186.21 |
Network Health Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $251.19 | Professional | None | $66.07 | $89.13 | $251.19 |
Prevea360 Setting Facility Modifier None Typical Low $57.54 Median $72.44 Typical High $112.20 | Facility | None | $57.54 | $72.44 | $112.20 |
Quartz Setting Professional Modifier None Typical Low $97.72 Median $208.93 Typical High $288.40 | Professional | None | $97.72 | $208.93 | $288.40 |
Quartz Setting Professional Modifier None Typical Low $41.69 Median $42.66 Typical High $229.09 | Professional | None | $41.69 | $42.66 | $229.09 |
Security Health Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $186.21 | Professional | None | $66.07 | $66.07 | $186.21 |
Security Health Setting Professional Modifier None Typical Low $66.07 Median $257.04 Typical High $616.60 | Professional | None | $66.07 | $257.04 | $616.60 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $43.65 Median $70.79 Typical High $269.15 | Professional | None | $43.65 | $70.79 | $269.15 |
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 $52.48 Median $52.48 Typical High $138.04 | Professional | 52 · Reduced service | $52.48 | $52.48 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $56.23 | Professional | 53 · Discontinued | $20.89 | $20.89 | $56.23 |
Where Wisconsin sits
The same service costs 4.2 times more in Alaska than in Alabama. 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
$117
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.