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 $6.61 Median $6.61 Typical High $8.51 | Facility | None | $6.61 | $6.61 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $6.61 Typical High $77.62 | Professional | None | $5.62 | $6.61 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $14.45 Typical High $15.14 | Facility | None | $12.02 | $14.45 | $15.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $9.33 Typical High $34.67 | Professional | None | $2.34 | $9.33 | $34.67 |
CareSource Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
CareSource Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $15.85 Typical High $20.89 | Facility | None | $13.49 | $15.85 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $9.33 Typical High $17.38 | Professional | None | $3.09 | $9.33 | $17.38 |
DeanCare Setting Facility Modifier None Typical Low $4.27 Median $23.44 Typical High $36.31 | Facility | None | $4.27 | $23.44 | $36.31 |
Medica Setting Facility Modifier None Typical Low $4.27 Median $5.62 Typical High $100.00 | Facility | None | $4.27 | $5.62 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.24 Median $5.62 Typical High $15.49 | Professional | None | $3.24 | $5.62 | $15.49 |
Network Health Setting Facility Modifier None Typical Low $6.61 Median $7.41 Typical High $13.49 | Facility | None | $6.61 | $7.41 | $13.49 |
Network Health Setting Professional Modifier None Typical Low $4.17 Median $5.62 Typical High $15.85 | Professional | None | $4.17 | $5.62 | $15.85 |
Prevea360 Setting Facility Modifier None Typical Low $4.27 Median $4.57 Typical High $7.08 | Facility | None | $4.27 | $4.57 | $7.08 |
Quartz Setting Professional Modifier None Typical Low $6.31 Median $13.49 Typical High $19.95 | Professional | None | $6.31 | $13.49 | $19.95 |
Quartz Setting Professional Modifier None Typical Low $2.63 Median $3.09 Typical High $14.45 | Professional | None | $2.63 | $3.09 | $14.45 |
Security Health Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $32.36 | Professional | None | $11.75 | $11.75 | $32.36 |
Security Health Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $38.90 | Professional | None | $24.55 | $32.36 | $38.90 |
United Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
United Setting Professional Modifier None Typical Low $2.75 Median $4.47 Typical High $18.20 | Professional | None | $2.75 | $4.47 | $18.20 |
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 $3.31 Median $3.31 Typical High $38.90 | Professional | 52 · Reduced service | $3.31 | $3.31 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $15.49 | Professional | 53 · Discontinued | $1.32 | $1.32 | $15.49 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 7th of 51
$8.13
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.