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 $10.47 Median $10.72 Typical High $13.80 | Facility | None | $10.47 | $10.72 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $109.65 | Professional | None | $10.72 | $10.72 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $23.44 Typical High $24.55 | Facility | None | $19.50 | $23.44 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $15.14 Typical High $66.07 | Professional | None | $5.13 | $15.14 | $66.07 |
CareSource Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
CareSource Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $26.30 Typical High $34.67 | Facility | None | $22.39 | $26.30 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $23.44 Typical High $44.67 | Professional | None | $5.89 | $23.44 | $44.67 |
DeanCare Setting Facility Modifier None Typical Low $7.94 Median $44.67 Typical High $69.18 | Facility | None | $7.94 | $44.67 | $69.18 |
Medica Setting Facility Modifier None Typical Low $8.13 Median $81.28 Typical High $151.36 | Facility | None | $8.13 | $81.28 | $151.36 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $9.12 Typical High $34.67 | Professional | None | $5.37 | $9.12 | $34.67 |
Network Health Setting Facility Modifier None Typical Low $10.72 Median $13.80 Typical High $25.70 | Facility | None | $10.72 | $13.80 | $25.70 |
Network Health Setting Professional Modifier None Typical Low $6.76 Median $9.12 Typical High $25.70 | Professional | None | $6.76 | $9.12 | $25.70 |
Prevea360 Setting Facility Modifier None Typical Low $7.24 Median $8.13 Typical High $11.48 | Facility | None | $7.24 | $8.13 | $11.48 |
Quartz Setting Professional Modifier None Typical Low $10.00 Median $21.38 Typical High $38.02 | Professional | None | $10.00 | $21.38 | $38.02 |
Quartz Setting Professional Modifier None Typical Low $4.37 Median $5.89 Typical High $70.79 | Professional | None | $4.37 | $5.89 | $70.79 |
Security Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $31.62 | Professional | None | $19.05 | $19.05 | $31.62 |
Security Health Setting Professional Modifier None Typical Low $30.90 Median $48.98 Typical High $63.10 | Professional | None | $30.90 | $48.98 | $63.10 |
United Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
United Setting Professional Modifier None Typical Low $4.47 Median $7.59 Typical High $34.67 | Professional | None | $4.47 | $7.59 | $34.67 |
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 $5.37 Median $5.37 Typical High $57.54 | Professional | 52 · Reduced service | $5.37 | $5.37 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $22.91 | Professional | 53 · Discontinued | $2.14 | $2.14 | $22.91 |
Where Wisconsin sits
The same service costs 10.7 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· 9th of 51
$16.60
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.