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 $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $51.29 | Professional | None | $7.76 | $7.76 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $16.98 Typical High $17.78 | Facility | None | $13.80 | $16.98 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.16 Median $10.96 Typical High $46.77 | Professional | None | $3.16 | $10.96 | $46.77 |
CareSource Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $19.05 Typical High $25.12 | Facility | None | $16.22 | $19.05 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $11.22 Typical High $20.42 | Professional | None | $4.90 | $11.22 | $20.42 |
DeanCare Setting Facility Modifier None Typical Low $5.75 Median $32.36 Typical High $50.12 | Facility | None | $5.75 | $32.36 | $50.12 |
Medica Setting Facility Modifier None Typical Low $5.13 Median $6.46 Typical High $79.43 | Facility | None | $5.13 | $6.46 | $79.43 |
Medica Setting Professional Modifier None Typical Low $3.89 Median $6.46 Typical High $21.38 | Professional | None | $3.89 | $6.46 | $21.38 |
Network Health Setting Facility Modifier None Typical Low $7.76 Median $10.00 Typical High $18.62 | Facility | None | $7.76 | $10.00 | $18.62 |
Network Health Setting Professional Modifier None Typical Low $4.79 Median $6.61 Typical High $18.20 | Professional | None | $4.79 | $6.61 | $18.20 |
Prevea360 Setting Facility Modifier None Typical Low $5.13 Median $5.75 Typical High $8.32 | Facility | None | $5.13 | $5.75 | $8.32 |
Quartz Setting Professional Modifier None Typical Low $7.08 Median $15.14 Typical High $22.39 | Professional | None | $7.08 | $15.14 | $22.39 |
Quartz Setting Professional Modifier None Typical Low $4.27 Median $4.90 Typical High $16.98 | Professional | None | $4.27 | $4.90 | $16.98 |
Security Health Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $13.80 | Professional | None | $6.61 | $6.61 | $13.80 |
Security Health Setting Professional Modifier None Typical Low $6.61 Median $35.48 Typical High $48.98 | Professional | None | $6.61 | $35.48 | $48.98 |
United Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
United Setting Professional Modifier None Typical Low $3.24 Median $5.62 Typical High $24.55 | Professional | None | $3.24 | $5.62 | $24.55 |
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 $3.89 Median $3.89 Typical High $25.70 | Professional | 52 · Reduced service | $3.89 | $3.89 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.55 Typical High $10.23 | Professional | 53 · Discontinued | $1.55 | $1.55 | $10.23 |
Where Wisconsin sits
The same service costs 3.0 times more in Alaska 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· 5th of 51
$9.33
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.