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 $12.30 Median $12.30 Typical High $15.85 | Facility | None | $12.30 | $12.30 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.30 Typical High $208.93 | Professional | None | $12.02 | $12.30 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $26.30 Typical High $28.18 | Facility | None | $21.88 | $26.30 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $16.98 Typical High $58.88 | Professional | None | $5.01 | $16.98 | $58.88 |
CareSource Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
CareSource Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $29.51 Typical High $38.90 | Facility | None | $25.12 | $29.51 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $17.38 Typical High $31.62 | Professional | None | $6.76 | $17.38 | $31.62 |
DeanCare Setting Facility Modifier None Typical Low $9.12 Median $39.81 Typical High $63.10 | Facility | None | $9.12 | $39.81 | $63.10 |
Medica Setting Facility Modifier None Typical Low $9.77 Median $120.23 Typical High $204.17 | Facility | None | $9.77 | $120.23 | $204.17 |
Medica Setting Professional Modifier None Typical Low $5.89 Median $10.23 Typical High $36.31 | Professional | None | $5.89 | $10.23 | $36.31 |
Network Health Setting Facility Modifier None Typical Low $12.30 Median $12.59 Typical High $22.91 | Facility | None | $12.30 | $12.59 | $22.91 |
Network Health Setting Professional Modifier None Typical Low $7.59 Median $10.47 Typical High $28.84 | Professional | None | $7.59 | $10.47 | $28.84 |
Prevea360 Setting Facility Modifier None Typical Low $8.13 Median $9.12 Typical High $12.88 | Facility | None | $8.13 | $9.12 | $12.88 |
Quartz Setting Professional Modifier None Typical Low $11.22 Median $23.44 Typical High $42.66 | Professional | None | $11.22 | $23.44 | $42.66 |
Quartz Setting Professional Modifier None Typical Low $4.79 Median $6.76 Typical High $26.30 | Professional | None | $4.79 | $6.76 | $26.30 |
Security Health Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $21.88 | Professional | None | $17.38 | $17.38 | $21.88 |
Security Health Setting Professional Modifier None Typical Low $17.38 Median $38.02 Typical High $70.79 | Professional | None | $17.38 | $38.02 | $70.79 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
United Setting Professional Modifier None Typical Low $5.13 Median $8.13 Typical High $38.90 | Professional | None | $5.13 | $8.13 | $38.90 |
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 $6.17 Median $6.17 Typical High $104.71 | Professional | 52 · Reduced service | $6.17 | $6.17 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $41.69 | Professional | 53 · Discontinued | $2.45 | $2.45 | $41.69 |
Where Wisconsin sits
The same service costs 26.9 times more in Vermont 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· 11th 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.