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 $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $234.42 | Professional | None | $12.02 | $12.02 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $25.70 Typical High $27.54 | Facility | None | $21.38 | $25.70 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $16.60 Typical High $54.95 | Professional | None | $3.98 | $16.60 | $54.95 |
CareSource Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $29.51 Typical High $38.90 | Facility | None | $25.12 | $29.51 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $17.38 Typical High $30.90 | Professional | None | $5.01 | $17.38 | $30.90 |
DeanCare Setting Facility Modifier None Typical Low $6.76 Median $38.02 Typical High $58.88 | Facility | None | $6.76 | $38.02 | $58.88 |
Medica Setting Facility Modifier None Typical Low $6.76 Median $9.33 Typical High $100.00 | Facility | None | $6.76 | $9.33 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.75 Median $10.00 Typical High $27.54 | Professional | None | $5.75 | $10.00 | $27.54 |
Network Health Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $21.88 | Facility | None | $11.75 | $11.75 | $21.88 |
Network Health Setting Professional Modifier None Typical Low $7.41 Median $10.23 Typical High $28.18 | Professional | None | $7.41 | $10.23 | $28.18 |
Prevea360 Setting Facility Modifier None Typical Low $6.76 Median $8.13 Typical High $12.59 | Facility | None | $6.76 | $8.13 | $12.59 |
Quartz Setting Professional Modifier None Typical Low $11.22 Median $23.44 Typical High $33.88 | Professional | None | $11.22 | $23.44 | $33.88 |
Quartz Setting Professional Modifier None Typical Low $4.79 Median $5.01 Typical High $25.70 | Professional | None | $4.79 | $5.01 | $25.70 |
Security Health Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $21.38 | Professional | None | $7.76 | $7.76 | $21.38 |
Security Health Setting Professional Modifier None Typical Low $7.76 Median $30.20 Typical High $69.18 | Professional | None | $7.76 | $30.20 | $69.18 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.94 Typical High $30.90 | Professional | None | $5.01 | $7.94 | $30.90 |
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 $6.03 Median $6.03 Typical High $117.49 | Professional | 52 · Reduced service | $6.03 | $6.03 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $46.77 | Professional | 53 · Discontinued | $2.40 | $2.40 | $46.77 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Texas. 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· 5th of 51
$13.80
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.