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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $331.13 | Professional | None | $30.20 | $30.20 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $66.07 Typical High $69.18 | Facility | None | $53.70 | $66.07 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $42.66 Typical High $169.82 | Professional | None | $11.75 | $42.66 | $169.82 |
CareSource Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $74.13 Typical High $97.72 | Facility | None | $63.10 | $74.13 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $43.65 Typical High $79.43 | Professional | None | $15.49 | $43.65 | $79.43 |
DeanCare Setting Facility Modifier None Typical Low $20.89 Median $117.49 Typical High $181.97 | Facility | None | $20.89 | $117.49 | $181.97 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $23.99 Typical High $120.23 | Facility | None | $19.95 | $23.99 | $120.23 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $25.12 Typical High $77.62 | Professional | None | $14.45 | $25.12 | $77.62 |
Network Health Setting Facility Modifier None Typical Low $30.20 Median $36.31 Typical High $67.61 | Facility | None | $30.20 | $36.31 | $67.61 |
Network Health Setting Professional Modifier None Typical Low $19.05 Median $25.70 Typical High $70.79 | Professional | None | $19.05 | $25.70 | $70.79 |
Prevea360 Setting Facility Modifier None Typical Low $19.95 Median $22.91 Typical High $32.36 | Facility | None | $19.95 | $22.91 | $32.36 |
Quartz Setting Professional Modifier None Typical Low $27.54 Median $58.88 Typical High $97.72 | Professional | None | $27.54 | $58.88 | $97.72 |
Quartz Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $66.07 | Professional | None | $12.02 | $15.49 | $66.07 |
Security Health Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $53.70 | Professional | None | $23.99 | $23.99 | $53.70 |
Security Health Setting Professional Modifier None Typical Low $23.99 Median $112.20 Typical High $177.83 | Professional | None | $23.99 | $112.20 | $177.83 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $83.18 | Facility | None | $30.20 | $30.20 | $83.18 |
United Setting Professional Modifier None Typical Low $12.59 Median $19.95 Typical High $89.13 | Professional | None | $12.59 | $19.95 | $89.13 |
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 $15.14 Median $15.14 Typical High $165.96 | Professional | 52 · Reduced service | $15.14 | $15.14 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $66.07 | Professional | 53 · Discontinued | $6.03 | $6.03 | $66.07 |
Where Wisconsin sits
The same service costs 3.5 times more in Kansas 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· 7th of 51
$36.31
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.