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 $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $891.25 | Professional | None | $42.66 | $42.66 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $91.20 Typical High $97.72 | Facility | None | $75.86 | $91.20 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $54.95 Typical High $138.04 | Professional | None | $17.38 | $54.95 | $138.04 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $102.33 Typical High $134.90 | Facility | None | $89.13 | $102.33 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $60.26 Typical High $109.65 | Professional | None | $23.44 | $60.26 | $109.65 |
DeanCare Setting Facility Modifier None Typical Low $31.62 Median $69.18 Typical High $97.72 | Facility | None | $31.62 | $69.18 | $97.72 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $35.48 Typical High $213.80 | Facility | None | $28.18 | $35.48 | $213.80 |
Medica Setting Professional Modifier None Typical Low $10.72 Median $28.84 Typical High $114.82 | Professional | None | $10.72 | $28.84 | $114.82 |
Network Health Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $54.95 | Facility | None | $19.50 | $19.50 | $54.95 |
Network Health Setting Professional Modifier None Typical Low $24.55 Median $35.48 Typical High $100.00 | Professional | None | $24.55 | $35.48 | $100.00 |
Prevea360 Setting Facility Modifier None Typical Low $28.18 Median $31.62 Typical High $45.71 | Facility | None | $28.18 | $31.62 | $45.71 |
Quartz Setting Professional Modifier None Typical Low $38.90 Median $83.18 Typical High $117.49 | Professional | None | $38.90 | $83.18 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $16.98 Median $23.44 Typical High $91.20 | Professional | None | $16.98 | $23.44 | $91.20 |
Security Health Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $91.20 | Professional | None | $75.86 | $75.86 | $91.20 |
Security Health Setting Professional Modifier None Typical Low $89.13 Median $194.98 Typical High $245.47 | Professional | None | $89.13 | $194.98 | $245.47 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $48.98 | Facility | None | $42.66 | $42.66 | $48.98 |
United Setting Professional Modifier None Typical Low $14.79 Median $28.18 Typical High $134.90 | Professional | None | $14.79 | $28.18 | $134.90 |
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 $21.38 Median $21.38 Typical High $446.68 | Professional | 52 · Reduced service | $21.38 | $21.38 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $177.83 | Professional | 53 · Discontinued | $8.51 | $8.51 | $177.83 |
Where Wisconsin sits
The same service costs 4.3 times more in Alaska 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· 7th of 51
$50.12
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.