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 $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $81.28 | Professional | None | $6.17 | $6.17 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.96 Median $13.49 Typical High $14.13 | Facility | None | $10.96 | $13.49 | $14.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.04 Median $8.51 Typical High $27.54 | Professional | None | $2.04 | $8.51 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Facility | None | $3.39 | $3.39 | $3.39 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $14.79 Typical High $19.50 | Facility | None | $12.59 | $14.79 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $8.71 Typical High $15.85 | Professional | None | $2.45 | $8.71 | $15.85 |
DeanCare Setting Facility Modifier None Typical Low $3.39 Median $18.62 Typical High $28.84 | Facility | None | $3.39 | $18.62 | $28.84 |
Medica Setting Facility Modifier None Typical Low $3.39 Median $4.79 Typical High $100.00 | Facility | None | $3.39 | $4.79 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.95 Median $5.13 Typical High $14.13 | Professional | None | $2.95 | $5.13 | $14.13 |
Network Health Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $10.72 | Facility | None | $5.75 | $5.75 | $10.72 |
Network Health Setting Professional Modifier None Typical Low $3.89 Median $5.25 Typical High $14.45 | Professional | None | $3.89 | $5.25 | $14.45 |
Prevea360 Setting Facility Modifier None Typical Low $3.39 Median $4.17 Typical High $6.61 | Facility | None | $3.39 | $4.17 | $6.61 |
Quartz Setting Professional Modifier None Typical Low $5.62 Median $11.75 Typical High $17.38 | Professional | None | $5.62 | $11.75 | $17.38 |
Quartz Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $13.49 | Professional | None | $2.45 | $2.45 | $13.49 |
Security Health Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $10.96 | Professional | None | $3.89 | $3.89 | $10.96 |
Security Health Setting Professional Modifier None Typical Low $3.89 Median $28.18 Typical High $36.31 | Professional | None | $3.89 | $28.18 | $36.31 |
United Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $8.91 | Facility | None | $6.17 | $6.17 | $8.91 |
United Setting Professional Modifier None Typical Low $2.29 Median $4.07 Typical High $15.85 | Professional | None | $2.29 | $4.07 | $15.85 |
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 $3.09 Median $3.09 Typical High $40.74 | Professional | 52 · Reduced service | $3.09 | $3.09 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $16.22 | Professional | 53 · Discontinued | $1.23 | $1.23 | $16.22 |
Where Wisconsin sits
The same service costs 3.7 times more in Kansas than in Kentucky. 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
$7.24
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.