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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $338.84 | Professional | None | $77.62 | $77.62 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $177.83 | Facility | None | $138.04 | $169.82 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $109.65 Typical High $467.74 | Professional | None | $32.36 | $109.65 | $467.74 |
CareSource Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $190.55 Typical High $251.19 | Facility | None | $162.18 | $190.55 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $112.20 Typical High $204.17 | Professional | None | $42.66 | $112.20 | $204.17 |
DeanCare Setting Facility Modifier None Typical Low $57.54 Median $323.59 Typical High $501.19 | Facility | None | $57.54 | $323.59 | $501.19 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $64.57 Typical High $309.03 | Facility | None | $52.48 | $64.57 | $309.03 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $64.57 Typical High $213.80 | Professional | None | $38.90 | $64.57 | $213.80 |
Network Health Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $186.21 | Facility | None | $77.62 | $100.00 | $186.21 |
Network Health Setting Professional Modifier None Typical Low $48.98 Median $66.07 Typical High $181.97 | Professional | None | $48.98 | $66.07 | $181.97 |
Prevea360 Setting Facility Modifier None Typical Low $52.48 Median $58.88 Typical High $83.18 | Facility | None | $52.48 | $58.88 | $83.18 |
Quartz Setting Professional Modifier None Typical Low $72.44 Median $151.36 Typical High $239.88 | Professional | None | $72.44 | $151.36 | $239.88 |
Quartz Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $169.82 | Professional | None | $30.90 | $42.66 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $138.04 | Professional | None | $66.07 | $66.07 | $138.04 |
Security Health Setting Professional Modifier None Typical Low $66.07 Median $354.81 Typical High $457.09 | Professional | None | $66.07 | $354.81 | $457.09 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $32.36 Median $54.95 Typical High $245.47 | Professional | None | $32.36 | $54.95 | $245.47 |
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 $38.90 Median $38.90 Typical High $169.82 | Professional | 52 · Reduced service | $38.90 | $38.90 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $69.18 | Professional | 53 · Discontinued | $15.49 | $15.49 | $69.18 |
Where Wisconsin sits
The same service costs 3.0 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· 6th of 51
$93.33
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.