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 $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $162.18 | Professional | None | $14.79 | $14.79 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $33.88 | Facility | None | $26.92 | $32.36 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $20.89 Typical High $60.26 | Professional | None | $5.62 | $20.89 | $60.26 |
CareSource Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $35.48 Typical High $46.77 | Facility | None | $30.90 | $35.48 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $20.89 Typical High $38.90 | Professional | None | $7.59 | $20.89 | $38.90 |
DeanCare Setting Facility Modifier None Typical Low $10.00 Median $39.81 Typical High $63.10 | Facility | None | $10.00 | $39.81 | $63.10 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $11.75 Typical High $70.79 | Facility | None | $10.00 | $11.75 | $70.79 |
Medica Setting Professional Modifier None Typical Low $6.61 Median $12.30 Typical High $37.15 | Professional | None | $6.61 | $12.30 | $37.15 |
Network Health Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $22.91 | Facility | None | $12.59 | $12.59 | $22.91 |
Network Health Setting Professional Modifier None Typical Low $9.33 Median $12.59 Typical High $35.48 | Professional | None | $9.33 | $12.59 | $35.48 |
Prevea360 Setting Facility Modifier None Typical Low $10.00 Median $10.96 Typical High $15.85 | Facility | None | $10.00 | $10.96 | $15.85 |
Quartz Setting Professional Modifier None Typical Low $13.80 Median $29.51 Typical High $47.86 | Professional | None | $13.80 | $29.51 | $47.86 |
Quartz Setting Professional Modifier None Typical Low $5.89 Median $7.59 Typical High $32.36 | Professional | None | $5.89 | $7.59 | $32.36 |
Security Health Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $26.30 | Professional | None | $8.32 | $8.32 | $26.30 |
Security Health Setting Professional Modifier None Typical Low $8.32 Median $67.61 Typical High $87.10 | Professional | None | $8.32 | $67.61 | $87.10 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $5.75 Median $10.00 Typical High $43.65 | Professional | None | $5.75 | $10.00 | $43.65 |
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 $7.41 Median $7.41 Typical High $81.28 | Professional | 52 · Reduced service | $7.41 | $7.41 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $32.36 | Professional | 53 · Discontinued | $2.95 | $2.95 | $32.36 |
Where Wisconsin sits
The same service costs 6.5 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· 10th of 51
$17.38
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.