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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $257.04 | Professional | None | $46.77 | $46.77 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $102.33 Typical High $107.15 | Facility | None | $83.18 | $102.33 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $46.77 Typical High $151.36 | Professional | None | $15.49 | $46.77 | $151.36 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $114.82 Typical High $151.36 | Facility | None | $97.72 | $114.82 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $67.61 Typical High $123.03 | Professional | None | $18.62 | $67.61 | $123.03 |
DeanCare Setting Facility Modifier None Typical Low $17.38 Median $37.15 Typical High $50.12 | Facility | None | $17.38 | $37.15 | $50.12 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $36.31 Typical High $186.21 | Facility | None | $17.38 | $36.31 | $186.21 |
Medica Setting Professional Modifier None Typical Low $4.79 Median $23.44 Typical High $107.15 | Professional | None | $4.79 | $23.44 | $107.15 |
Network Health Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $60.26 | Facility | None | $8.91 | $8.91 | $60.26 |
Network Health Setting Professional Modifier None Typical Low $11.22 Median $38.90 Typical High $109.65 | Professional | None | $11.22 | $38.90 | $109.65 |
Prevea360 Setting Facility Modifier None Typical Low $17.38 Median $31.62 Typical High $50.12 | Facility | None | $17.38 | $31.62 | $50.12 |
Quartz Setting Professional Modifier None Typical Low $43.65 Median $89.13 Typical High $128.82 | Professional | None | $43.65 | $89.13 | $128.82 |
Quartz Setting Professional Modifier None Typical Low $12.88 Median $18.62 Typical High $102.33 | Professional | None | $12.88 | $18.62 | $102.33 |
Security Health Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $83.18 | Professional | None | $6.03 | $6.03 | $83.18 |
Security Health Setting Professional Modifier None Typical Low $6.03 Median $213.80 Typical High $275.42 | Professional | None | $6.03 | $213.80 | $275.42 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $60.26 | Facility | None | $46.77 | $46.77 | $60.26 |
United Setting Professional Modifier None Typical Low $8.13 Median $23.44 Typical High $120.23 | Professional | None | $8.13 | $23.44 | $120.23 |
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 $23.44 Median $23.44 Typical High $128.82 | Professional | 52 · Reduced service | $23.44 | $23.44 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $51.29 | Professional | 53 · Discontinued | $9.33 | $9.33 | $51.29 |
Where Wisconsin sits
The same service costs 4.3 times more in Alaska than in Oklahoma. 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
$46.77
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.