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 $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $204.17 | Professional | None | $5.89 | $5.89 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $12.59 Typical High $13.49 | Facility | None | $10.47 | $12.59 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $8.13 Typical High $35.48 | Professional | None | $2.40 | $8.13 | $35.48 |
CareSource Setting Facility Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Facility | None | $3.24 | $3.24 | $3.24 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $14.45 Typical High $19.50 | Facility | None | $12.59 | $14.45 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $8.71 Typical High $15.14 | Professional | None | $3.24 | $8.71 | $15.14 |
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 $3.89 Median $4.90 Typical High $79.43 | Facility | None | $3.89 | $4.90 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.95 Median $4.90 Typical High $15.85 | Professional | None | $2.95 | $4.90 | $15.85 |
Network Health Setting Facility Modifier None Typical Low $5.89 Median $7.59 Typical High $13.80 | Facility | None | $5.89 | $7.59 | $13.80 |
Network Health Setting Professional Modifier None Typical Low $3.63 Median $5.01 Typical High $13.80 | Professional | None | $3.63 | $5.01 | $13.80 |
Prevea360 Setting Facility Modifier None Typical Low $3.89 Median $4.37 Typical High $6.17 | Facility | None | $3.89 | $4.37 | $6.17 |
Quartz Setting Professional Modifier None Typical Low $5.62 Median $11.75 Typical High $17.38 | Professional | None | $5.62 | $11.75 | $17.38 |
Quartz Setting Professional Modifier None Typical Low $2.29 Median $3.24 Typical High $12.59 | Professional | None | $2.29 | $3.24 | $12.59 |
Security Health Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $10.23 | Professional | None | $8.32 | $8.32 | $10.23 |
Security Health Setting Professional Modifier None Typical Low $8.32 Median $26.30 Typical High $33.88 | Professional | None | $8.32 | $26.30 | $33.88 |
United Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
United Setting Professional Modifier None Typical Low $2.45 Median $4.27 Typical High $18.62 | Professional | None | $2.45 | $4.27 | $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 $2.95 Median $2.95 Typical High $102.33 | Professional | 52 · Reduced service | $2.95 | $2.95 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.17 Typical High $40.74 | Professional | 53 · Discontinued | $1.17 | $1.17 | $40.74 |
Where Wisconsin sits
The same service costs 3.8 times more in Kansas than in Nebraska. 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
$7.24
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.