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 $6.03 Median $6.03 Typical High $7.76 | Facility | None | $6.03 | $6.03 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.03 Typical High $69.18 | Professional | None | $5.75 | $6.03 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.96 Median $13.18 Typical High $13.80 | Facility | None | $10.96 | $13.18 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $8.51 Typical High $35.48 | Professional | None | $2.40 | $8.51 | $35.48 |
CareSource Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
CareSource Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | None | $5.01 | $5.01 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $14.79 Typical High $19.50 | Facility | None | $12.59 | $14.79 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $8.71 Typical High $15.85 | Professional | None | $3.24 | $8.71 | $15.85 |
DeanCare Setting Facility Modifier None Typical Low $4.37 Median $23.99 Typical High $38.02 | Facility | None | $4.37 | $23.99 | $38.02 |
Medica Setting Facility Modifier None Typical Low $4.17 Median $6.03 Typical High $100.00 | Facility | None | $4.17 | $6.03 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.95 Median $5.01 Typical High $15.85 | Professional | None | $2.95 | $5.01 | $15.85 |
Network Health Setting Facility Modifier None Typical Low $6.03 Median $7.59 Typical High $13.80 | Facility | None | $6.03 | $7.59 | $13.80 |
Network Health Setting Professional Modifier None Typical Low $3.80 Median $5.13 Typical High $14.45 | Professional | None | $3.80 | $5.13 | $14.45 |
Prevea360 Setting Facility Modifier None Typical Low $4.07 Median $4.57 Typical High $6.46 | Facility | None | $4.07 | $4.57 | $6.46 |
Quartz Setting Professional Modifier None Typical Low $5.62 Median $11.75 Typical High $20.42 | Professional | None | $5.62 | $11.75 | $20.42 |
Quartz Setting Professional Modifier None Typical Low $2.45 Median $3.24 Typical High $13.18 | Professional | None | $2.45 | $3.24 | $13.18 |
Security Health Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $12.88 | Professional | None | $10.72 | $10.72 | $12.88 |
Security Health Setting Professional Modifier None Typical Low $12.88 Median $19.50 Typical High $35.48 | Professional | None | $12.88 | $19.50 | $35.48 |
United Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
United Setting Professional Modifier None Typical Low $2.51 Median $4.07 Typical High $18.62 | Professional | None | $2.51 | $4.07 | $18.62 |
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 $3.02 Median $3.02 Typical High $40.74 | Professional | 52 · Reduced service | $3.02 | $3.02 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.20 Typical High $16.22 | Professional | 53 · Discontinued | $1.20 | $1.20 | $16.22 |
Where Wisconsin sits
The same service costs 9.3 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· 8th of 51
$7.59
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.