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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $630.96 | Professional | None | $24.55 | $24.55 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $53.70 Typical High $56.23 | Facility | None | $43.65 | $53.70 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $33.88 Typical High $147.91 | Professional | None | $10.00 | $33.88 | $147.91 |
CareSource Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $60.26 Typical High $79.43 | Facility | None | $51.29 | $60.26 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $35.48 Typical High $63.10 | Professional | None | $13.49 | $35.48 | $63.10 |
DeanCare Setting Facility Modifier None Typical Low $18.20 Median $102.33 Typical High $158.49 | Facility | None | $18.20 | $102.33 | $158.49 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $20.42 Typical High $141.25 | Facility | None | $16.22 | $20.42 | $141.25 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $20.42 Typical High $67.61 | Professional | None | $12.30 | $20.42 | $67.61 |
Network Health Setting Facility Modifier None Typical Low $24.55 Median $31.62 Typical High $58.88 | Facility | None | $24.55 | $31.62 | $58.88 |
Network Health Setting Professional Modifier None Typical Low $15.49 Median $20.89 Typical High $57.54 | Professional | None | $15.49 | $20.89 | $57.54 |
Prevea360 Setting Facility Modifier None Typical Low $16.22 Median $18.20 Typical High $26.30 | Facility | None | $16.22 | $18.20 | $26.30 |
Quartz Setting Professional Modifier None Typical Low $22.39 Median $47.86 Typical High $85.11 | Professional | None | $22.39 | $47.86 | $85.11 |
Quartz Setting Professional Modifier None Typical Low $9.77 Median $13.49 Typical High $52.48 | Professional | None | $9.77 | $13.49 | $52.48 |
Security Health Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $43.65 | Professional | None | $20.89 | $20.89 | $43.65 |
Security Health Setting Professional Modifier None Typical Low $20.89 Median $112.20 Typical High $144.54 | Professional | None | $20.89 | $112.20 | $144.54 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $10.23 Median $20.42 Typical High $77.62 | Professional | None | $10.23 | $20.42 | $77.62 |
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 $12.30 Median $12.30 Typical High $316.23 | Professional | 52 · Reduced service | $12.30 | $12.30 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $128.82 | Professional | 53 · Discontinued | $4.90 | $4.90 | $128.82 |
Where Wisconsin sits
The same service costs 4.7 times more in Kansas than in West Virginia. 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
$29.51
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.