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 $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $616.60 | Professional | None | $19.50 | $19.50 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $42.66 Typical High $44.67 | Facility | None | $35.48 | $42.66 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $27.54 Typical High $120.23 | Professional | None | $8.13 | $27.54 | $120.23 |
CareSource Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $48.98 Typical High $63.10 | Facility | None | $41.69 | $48.98 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $28.18 Typical High $51.29 | Professional | None | $10.72 | $28.18 | $51.29 |
DeanCare Setting Facility Modifier None Typical Low $14.45 Median $81.28 Typical High $125.89 | Facility | None | $14.45 | $81.28 | $125.89 |
Medica Setting Facility Modifier None Typical Low $13.18 Median $16.22 Typical High $128.82 | Facility | None | $13.18 | $16.22 | $128.82 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $16.22 Typical High $53.70 | Professional | None | $9.55 | $16.22 | $53.70 |
Network Health Setting Facility Modifier None Typical Low $19.50 Median $25.12 Typical High $46.77 | Facility | None | $19.50 | $25.12 | $46.77 |
Network Health Setting Professional Modifier None Typical Low $12.30 Median $16.60 Typical High $46.77 | Professional | None | $12.30 | $16.60 | $46.77 |
Prevea360 Setting Facility Modifier None Typical Low $13.18 Median $14.79 Typical High $20.89 | Facility | None | $13.18 | $14.79 | $20.89 |
Quartz Setting Professional Modifier None Typical Low $18.20 Median $38.90 Typical High $69.18 | Professional | None | $18.20 | $38.90 | $69.18 |
Quartz Setting Professional Modifier None Typical Low $7.94 Median $10.72 Typical High $42.66 | Professional | None | $7.94 | $10.72 | $42.66 |
Security Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $34.67 | Professional | None | $16.98 | $16.98 | $34.67 |
Security Health Setting Professional Modifier None Typical Low $16.98 Median $89.13 Typical High $114.82 | Professional | None | $16.98 | $89.13 | $114.82 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $60.26 | Facility | None | $19.50 | $19.50 | $60.26 |
United Setting Professional Modifier None Typical Low $8.13 Median $13.80 Typical High $61.66 | Professional | None | $8.13 | $13.80 | $61.66 |
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 $9.77 Median $9.77 Typical High $309.03 | Professional | 52 · Reduced service | $9.77 | $9.77 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $123.03 | Professional | 53 · Discontinued | $3.89 | $3.89 | $123.03 |
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· 8th of 51
$23.99
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.