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 $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $9.77 Typical High $81.28 | Professional | None | $8.13 | $9.77 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $20.89 Typical High $22.39 | Facility | None | $17.38 | $20.89 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.47 Median $13.49 Typical High $51.29 | Professional | None | $3.47 | $13.49 | $51.29 |
CareSource Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
CareSource Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $23.99 Typical High $31.62 | Facility | None | $20.89 | $23.99 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $14.13 Typical High $25.12 | Professional | None | $4.57 | $14.13 | $25.12 |
DeanCare Setting Facility Modifier None Typical Low $6.17 Median $34.67 Typical High $53.70 | Facility | None | $6.17 | $34.67 | $53.70 |
Medica Setting Facility Modifier None Typical Low $6.17 Median $8.13 Typical High $151.36 | Facility | None | $6.17 | $8.13 | $151.36 |
Medica Setting Professional Modifier None Typical Low $4.68 Median $8.13 Typical High $22.91 | Professional | None | $4.68 | $8.13 | $22.91 |
Network Health Setting Facility Modifier None Typical Low $9.77 Median $10.72 Typical High $19.95 | Facility | None | $9.77 | $10.72 | $19.95 |
Network Health Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $22.91 | Professional | None | $6.03 | $8.32 | $22.91 |
Prevea360 Setting Facility Modifier None Typical Low $6.17 Median $6.76 Typical High $10.47 | Facility | None | $6.17 | $6.76 | $10.47 |
Quartz Setting Professional Modifier None Typical Low $8.91 Median $19.05 Typical High $29.51 | Professional | None | $8.91 | $19.05 | $29.51 |
Quartz Setting Professional Modifier None Typical Low $3.89 Median $4.57 Typical High $20.89 | Professional | None | $3.89 | $4.57 | $20.89 |
Security Health Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $18.62 | Professional | None | $17.38 | $17.38 | $18.62 |
Security Health Setting Professional Modifier None Typical Low $18.62 Median $23.99 Typical High $56.23 | Professional | None | $18.62 | $23.99 | $56.23 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
United Setting Professional Modifier None Typical Low $4.07 Median $6.46 Typical High $26.92 | Professional | None | $4.07 | $6.46 | $26.92 |
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 $4.90 Median $4.90 Typical High $40.74 | Professional | 52 · Reduced service | $4.90 | $4.90 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $16.22 | Professional | 53 · Discontinued | $1.95 | $1.95 | $16.22 |
Where Wisconsin sits
The same service costs 8.3 times more in Kansas than in New Jersey. 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
$11.75
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.