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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.91 Typical High $575.44 | Professional | None | $22.39 | $22.91 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $48.98 Typical High $52.48 | Facility | None | $40.74 | $48.98 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $31.62 Typical High $138.04 | Professional | None | $9.33 | $31.62 | $138.04 |
CareSource Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $56.23 Typical High $74.13 | Facility | None | $47.86 | $56.23 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $33.11 Typical High $58.88 | Professional | None | $12.59 | $33.11 | $58.88 |
DeanCare Setting Facility Modifier None Typical Low $16.98 Median $95.50 Typical High $147.91 | Facility | None | $16.98 | $95.50 | $147.91 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $19.05 Typical High $147.91 | Facility | None | $15.14 | $19.05 | $147.91 |
Medica Setting Professional Modifier None Typical Low $11.22 Median $19.05 Typical High $61.66 | Professional | None | $11.22 | $19.05 | $61.66 |
Network Health Setting Facility Modifier None Typical Low $22.91 Median $29.51 Typical High $54.95 | Facility | None | $22.91 | $29.51 | $54.95 |
Network Health Setting Professional Modifier None Typical Low $14.13 Median $19.50 Typical High $53.70 | Professional | None | $14.13 | $19.50 | $53.70 |
Prevea360 Setting Facility Modifier None Typical Low $15.14 Median $16.98 Typical High $24.55 | Facility | None | $15.14 | $16.98 | $24.55 |
Quartz Setting Professional Modifier None Typical Low $20.89 Median $44.67 Typical High $79.43 | Professional | None | $20.89 | $44.67 | $79.43 |
Quartz Setting Professional Modifier None Typical Low $9.12 Median $12.59 Typical High $48.98 | Professional | None | $9.12 | $12.59 | $48.98 |
Security Health Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $54.95 | Professional | None | $40.74 | $40.74 | $54.95 |
Security Health Setting Professional Modifier None Typical Low $54.95 Median $93.33 Typical High $131.83 | Professional | None | $54.95 | $93.33 | $131.83 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $60.26 | Facility | None | $22.91 | $22.91 | $60.26 |
United Setting Professional Modifier None Typical Low $9.55 Median $16.22 Typical High $72.44 | Professional | None | $9.55 | $16.22 | $72.44 |
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 $11.48 Median $11.48 Typical High $288.40 | Professional | 52 · Reduced service | $11.48 | $11.48 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $117.49 | Professional | 53 · Discontinued | $4.57 | $4.57 | $117.49 |
Where Wisconsin sits
The same service costs 5.5 times more in Kansas 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· 6th of 51
$28.18
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.