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 $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $169.82 | Professional | None | $13.80 | $13.80 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $30.20 Typical High $31.62 | Facility | None | $25.12 | $30.20 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $19.50 Typical High $85.11 | Professional | None | $5.75 | $19.50 | $85.11 |
CareSource Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $33.88 Typical High $44.67 | Facility | None | $28.84 | $33.88 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $19.95 Typical High $36.31 | Professional | None | $7.76 | $19.95 | $36.31 |
DeanCare Setting Facility Modifier None Typical Low $10.47 Median $57.54 Typical High $89.13 | Facility | None | $10.47 | $57.54 | $89.13 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $11.75 Typical High $100.00 | Facility | None | $9.33 | $11.75 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.92 Median $11.75 Typical High $38.02 | Professional | None | $6.92 | $11.75 | $38.02 |
Network Health Setting Facility Modifier None Typical Low $13.80 Median $17.78 Typical High $33.11 | Facility | None | $13.80 | $17.78 | $33.11 |
Network Health Setting Professional Modifier None Typical Low $8.71 Median $11.75 Typical High $33.11 | Professional | None | $8.71 | $11.75 | $33.11 |
Prevea360 Setting Facility Modifier None Typical Low $9.33 Median $10.47 Typical High $14.79 | Facility | None | $9.33 | $10.47 | $14.79 |
Quartz Setting Professional Modifier None Typical Low $12.88 Median $27.54 Typical High $48.98 | Professional | None | $12.88 | $27.54 | $48.98 |
Quartz Setting Professional Modifier None Typical Low $5.62 Median $7.76 Typical High $30.20 | Professional | None | $5.62 | $7.76 | $30.20 |
Security Health Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $24.55 | Professional | None | $12.02 | $12.02 | $24.55 |
Security Health Setting Professional Modifier None Typical Low $12.02 Median $63.10 Typical High $81.28 | Professional | None | $12.02 | $63.10 | $81.28 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $44.67 | Facility | None | $13.80 | $13.80 | $44.67 |
United Setting Professional Modifier None Typical Low $5.75 Median $11.75 Typical High $44.67 | Professional | None | $5.75 | $11.75 | $44.67 |
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 $6.92 Median $6.92 Typical High $85.11 | Professional | 52 · Reduced service | $6.92 | $6.92 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $33.88 | Professional | 53 · Discontinued | $2.82 | $2.82 | $33.88 |
Where Wisconsin sits
The same service costs 4.7 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· 8th of 51
$16.98
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.