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 $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $794.33 | Professional | None | $27.54 | $27.54 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $60.26 Typical High $63.10 | Facility | None | $48.98 | $60.26 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $38.02 Typical High $165.96 | Professional | None | $11.22 | $38.02 | $165.96 |
CareSource Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $67.61 Typical High $89.13 | Facility | None | $57.54 | $67.61 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $39.81 Typical High $70.79 | Professional | None | $15.14 | $39.81 | $70.79 |
DeanCare Setting Facility Modifier None Typical Low $20.42 Median $114.82 Typical High $177.83 | Facility | None | $20.42 | $114.82 | $177.83 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $22.91 Typical High $194.98 | Facility | None | $18.20 | $22.91 | $194.98 |
Medica Setting Professional Modifier None Typical Low $13.49 Median $22.91 Typical High $75.86 | Professional | None | $13.49 | $22.91 | $75.86 |
Network Health Setting Facility Modifier None Typical Low $27.54 Median $35.48 Typical High $66.07 | Facility | None | $27.54 | $35.48 | $66.07 |
Network Health Setting Professional Modifier None Typical Low $17.38 Median $23.44 Typical High $64.57 | Professional | None | $17.38 | $23.44 | $64.57 |
Prevea360 Setting Facility Modifier None Typical Low $18.20 Median $20.42 Typical High $29.51 | Facility | None | $18.20 | $20.42 | $29.51 |
Quartz Setting Professional Modifier None Typical Low $25.70 Median $54.95 Typical High $95.50 | Professional | None | $25.70 | $54.95 | $95.50 |
Quartz Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $60.26 | Professional | None | $10.96 | $15.14 | $60.26 |
Security Health Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $169.82 | Professional | None | $48.98 | $48.98 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $102.33 Median $158.49 Typical High $169.82 | Professional | None | $102.33 | $158.49 | $169.82 |
United Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
United Setting Professional Modifier None Typical Low $11.48 Median $19.50 Typical High $87.10 | Professional | None | $11.48 | $19.50 | $87.10 |
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 $13.80 Median $13.80 Typical High $389.05 | Professional | 52 · Reduced service | $13.80 | $13.80 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $158.49 | Professional | 53 · Discontinued | $5.50 | $5.50 | $158.49 |
Where Wisconsin sits
The same service costs 5.4 times more in Alaska than in Alabama. 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
$34.67
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.