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 $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $436.52 | Professional | None | $18.20 | $18.20 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $39.81 Typical High $41.69 | Facility | None | $33.11 | $39.81 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $25.70 Typical High $104.71 | Professional | None | $7.59 | $25.70 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $44.67 Typical High $57.54 | Facility | None | $38.02 | $44.67 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $25.70 Typical High $47.86 | Professional | None | $10.23 | $25.70 | $47.86 |
DeanCare Setting Facility Modifier None Typical Low $13.80 Median $70.79 Typical High $109.65 | Facility | None | $13.80 | $70.79 | $109.65 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $15.49 Typical High $128.82 | Facility | None | $12.30 | $15.49 | $128.82 |
Medica Setting Professional Modifier None Typical Low $9.12 Median $15.49 Typical High $50.12 | Professional | None | $9.12 | $15.49 | $50.12 |
Network Health Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $40.74 | Facility | None | $18.20 | $21.88 | $40.74 |
Network Health Setting Professional Modifier None Typical Low $11.48 Median $15.49 Typical High $43.65 | Professional | None | $11.48 | $15.49 | $43.65 |
Prevea360 Setting Facility Modifier None Typical Low $12.30 Median $13.80 Typical High $19.50 | Facility | None | $12.30 | $13.80 | $19.50 |
Quartz Setting Professional Modifier None Typical Low $16.98 Median $36.31 Typical High $64.57 | Professional | None | $16.98 | $36.31 | $64.57 |
Quartz Setting Professional Modifier None Typical Low $7.24 Median $10.23 Typical High $39.81 | Professional | None | $7.24 | $10.23 | $39.81 |
Security Health Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $83.18 | Professional | None | $32.36 | $32.36 | $83.18 |
Security Health Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $107.15 | Professional | None | $66.07 | $83.18 | $107.15 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $7.59 Median $15.49 Typical High $58.88 | Professional | None | $7.59 | $15.49 | $58.88 |
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 $9.12 Median $9.12 Typical High $213.80 | Professional | 52 · Reduced service | $9.12 | $9.12 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $87.10 | Professional | 53 · Discontinued | $3.72 | $3.72 | $87.10 |
Where Wisconsin sits
The same service costs 20.9 times more in Vermont than in Maryland. 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
$22.39
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.