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 $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $81.28 | Professional | None | $8.13 | $8.13 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $17.78 Typical High $18.62 | Facility | None | $14.79 | $17.78 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.39 Median $11.48 Typical High $50.12 | Professional | None | $3.39 | $11.48 | $50.12 |
CareSource Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $19.95 Typical High $26.30 | Facility | None | $16.98 | $19.95 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $11.75 Typical High $21.38 | Professional | None | $4.57 | $11.75 | $21.38 |
DeanCare Setting Facility Modifier None Typical Low $6.03 Median $33.88 Typical High $52.48 | Facility | None | $6.03 | $33.88 | $52.48 |
Medica Setting Facility Modifier None Typical Low $5.50 Median $6.76 Typical High $100.00 | Facility | None | $5.50 | $6.76 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.98 Median $6.76 Typical High $22.39 | Professional | None | $3.98 | $6.76 | $22.39 |
Network Health Setting Facility Modifier None Typical Low $8.13 Median $10.47 Typical High $19.50 | Facility | None | $8.13 | $10.47 | $19.50 |
Network Health Setting Professional Modifier None Typical Low $5.13 Median $6.92 Typical High $19.50 | Professional | None | $5.13 | $6.92 | $19.50 |
Prevea360 Setting Facility Modifier None Typical Low $5.50 Median $6.17 Typical High $8.71 | Facility | None | $5.50 | $6.17 | $8.71 |
Quartz Setting Professional Modifier None Typical Low $7.41 Median $15.85 Typical High $28.84 | Professional | None | $7.41 | $15.85 | $28.84 |
Quartz Setting Professional Modifier None Typical Low $3.24 Median $4.57 Typical High $17.78 | Professional | None | $3.24 | $4.57 | $17.78 |
Security Health Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $14.45 | Professional | None | $7.08 | $7.08 | $14.45 |
Security Health Setting Professional Modifier None Typical Low $7.08 Median $37.15 Typical High $47.86 | Professional | None | $7.08 | $37.15 | $47.86 |
United Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $19.50 | Facility | None | $8.13 | $8.13 | $19.50 |
United Setting Professional Modifier None Typical Low $3.39 Median $5.75 Typical High $25.70 | Professional | None | $3.39 | $5.75 | $25.70 |
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 $4.07 Median $4.07 Typical High $40.74 | Professional | 52 · Reduced service | $4.07 | $4.07 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $16.22 | Professional | 53 · Discontinued | $1.62 | $1.62 | $16.22 |
Where Wisconsin sits
The same service costs 3.3 times more in Kansas than in Delaware. 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· 9th of 51
$9.77
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.