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 $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $51.29 | Professional | None | $8.32 | $8.32 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $18.20 Typical High $19.05 | Facility | None | $15.14 | $18.20 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $10.00 Typical High $27.54 | Professional | None | $4.17 | $10.00 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $20.89 Typical High $27.54 | Facility | None | $18.20 | $20.89 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $12.30 Typical High $23.99 | Professional | None | $5.50 | $12.30 | $23.99 |
DeanCare Setting Facility Modifier None Typical Low $2.09 Median $12.88 Typical High $18.20 | Facility | None | $2.09 | $12.88 | $18.20 |
Medica Setting Facility Modifier None Typical Low $2.09 Median $6.61 Typical High $60.26 | Facility | None | $2.09 | $6.61 | $60.26 |
Medica Setting Professional Modifier None Typical Low $3.24 Median $7.08 Typical High $19.05 | Professional | None | $3.24 | $7.08 | $19.05 |
Network Health Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $10.72 | Facility | None | $3.63 | $3.63 | $10.72 |
Network Health Setting Professional Modifier None Typical Low $4.57 Median $7.08 Typical High $19.95 | Professional | None | $4.57 | $7.08 | $19.95 |
Prevea360 Setting Facility Modifier None Typical Low $2.09 Median $5.75 Typical High $8.91 | Facility | None | $2.09 | $5.75 | $8.91 |
Quartz Setting Professional Modifier None Typical Low $7.76 Median $16.60 Typical High $24.55 | Professional | None | $7.76 | $16.60 | $24.55 |
Quartz Setting Professional Modifier None Typical Low $1.62 Median $5.50 Typical High $18.20 | Professional | None | $1.62 | $5.50 | $18.20 |
Security Health Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $14.79 | Professional | None | $2.45 | $2.45 | $14.79 |
Security Health Setting Professional Modifier None Typical Low $2.45 Median $38.02 Typical High $48.98 | Professional | None | $2.45 | $38.02 | $48.98 |
United Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier None Typical Low $3.31 Median $7.08 Typical High $21.38 | Professional | None | $3.31 | $7.08 | $21.38 |
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 $4.17 Median $4.17 Typical High $25.70 | Professional | 52 · Reduced service | $4.17 | $4.17 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $10.23 | Professional | 53 · Discontinued | $1.70 | $1.70 | $10.23 |
Where Wisconsin sits
The same service costs 5.4 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· 3rd of 51
$9.12
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.