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 $13.80 Median $13.80 Typical High $15.85 | Facility | None | $13.80 | $13.80 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.80 Typical High $218.78 | Professional | None | $13.49 | $13.80 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $29.51 Typical High $31.62 | Facility | None | $24.55 | $29.51 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $19.05 Typical High $75.86 | Professional | None | $5.62 | $19.05 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
CareSource Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $33.88 Typical High $44.67 | Facility | None | $28.84 | $33.88 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $19.95 Typical High $35.48 | Professional | None | $7.59 | $19.95 | $35.48 |
DeanCare Setting Facility Modifier None Typical Low $10.23 Median $51.29 Typical High $79.43 | Facility | None | $10.23 | $51.29 | $79.43 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $13.80 Typical High $100.00 | Facility | None | $9.33 | $13.80 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $11.48 Typical High $37.15 | Professional | None | $6.76 | $11.48 | $37.15 |
Network Health Setting Facility Modifier None Typical Low $13.80 Median $15.85 Typical High $29.51 | Facility | None | $13.80 | $15.85 | $29.51 |
Network Health Setting Professional Modifier None Typical Low $8.51 Median $11.75 Typical High $32.36 | Professional | None | $8.51 | $11.75 | $32.36 |
Prevea360 Setting Facility Modifier None Typical Low $9.12 Median $10.23 Typical High $14.45 | Facility | None | $9.12 | $10.23 | $14.45 |
Quartz Setting Professional Modifier None Typical Low $12.59 Median $26.92 Typical High $47.86 | Professional | None | $12.59 | $26.92 | $47.86 |
Quartz Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $29.51 | Professional | None | $5.37 | $7.59 | $29.51 |
Security Health Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $25.12 | Professional | None | $23.99 | $23.99 | $25.12 |
Security Health Setting Professional Modifier None Typical Low $25.12 Median $51.29 Typical High $79.43 | Professional | None | $25.12 | $51.29 | $79.43 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $37.15 | Facility | None | $13.80 | $13.80 | $37.15 |
United Setting Professional Modifier None Typical Low $5.75 Median $11.48 Typical High $43.65 | Professional | None | $5.75 | $11.48 | $43.65 |
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 $6.92 Median $6.92 Typical High $109.65 | Professional | 52 · Reduced service | $6.92 | $6.92 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $43.65 | Professional | 53 · Discontinued | $2.75 | $2.75 | $43.65 |
Where Wisconsin sits
The same service costs 15.1 times more in Vermont than in Maryland. 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· 10th of 51
$16.60
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.