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 $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $141.25 | Professional | None | $8.71 | $8.71 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.49 Median $18.62 Typical High $19.95 | Facility | None | $15.49 | $18.62 | $19.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $12.02 Typical High $54.95 | Professional | None | $3.55 | $12.02 | $54.95 |
CareSource Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $20.89 Typical High $27.54 | Facility | None | $18.20 | $20.89 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $12.30 Typical High $22.39 | Professional | None | $4.90 | $12.30 | $22.39 |
DeanCare Setting Facility Modifier None Typical Low $6.61 Median $37.15 Typical High $57.54 | Facility | None | $6.61 | $37.15 | $57.54 |
Medica Setting Facility Modifier None Typical Low $5.75 Median $7.24 Typical High $100.00 | Facility | None | $5.75 | $7.24 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.37 Median $7.24 Typical High $23.44 | Professional | None | $4.37 | $7.24 | $23.44 |
Network Health Setting Facility Modifier None Typical Low $8.71 Median $11.48 Typical High $20.42 | Facility | None | $8.71 | $11.48 | $20.42 |
Network Health Setting Professional Modifier None Typical Low $5.37 Median $7.41 Typical High $20.42 | Professional | None | $5.37 | $7.41 | $20.42 |
Prevea360 Setting Facility Modifier None Typical Low $5.75 Median $6.61 Typical High $9.12 | Facility | None | $5.75 | $6.61 | $9.12 |
Quartz Setting Professional Modifier None Typical Low $8.13 Median $17.38 Typical High $29.51 | Professional | None | $8.13 | $17.38 | $29.51 |
Quartz Setting Professional Modifier None Typical Low $3.39 Median $4.90 Typical High $18.62 | Professional | None | $3.39 | $4.90 | $18.62 |
Security Health Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $15.49 | Professional | None | $7.76 | $7.76 | $15.49 |
Security Health Setting Professional Modifier None Typical Low $7.76 Median $38.90 Typical High $50.12 | Professional | None | $7.76 | $38.90 | $50.12 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $22.39 | Facility | None | $8.71 | $8.71 | $22.39 |
United Setting Professional Modifier None Typical Low $3.63 Median $6.31 Typical High $27.54 | Professional | None | $3.63 | $6.31 | $27.54 |
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 $4.37 Median $4.37 Typical High $70.79 | Professional | 52 · Reduced service | $4.37 | $4.37 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $28.18 | Professional | 53 · Discontinued | $1.74 | $1.74 | $28.18 |
Where Wisconsin sits
The same service costs 4.4 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· 11th of 51
$10.47
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.