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 $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $64.57 | Professional | None | $11.22 | $11.22 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $24.55 Typical High $25.70 | Facility | None | $19.95 | $24.55 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.72 Median $15.85 Typical High $47.86 | Professional | None | $3.72 | $15.85 | $47.86 |
CareSource Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $27.54 Typical High $36.31 | Facility | None | $23.44 | $27.54 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $16.22 Typical High $29.51 | Professional | None | $4.47 | $16.22 | $29.51 |
DeanCare Setting Facility Modifier None Typical Low $5.89 Median $33.11 Typical High $51.29 | Facility | None | $5.89 | $33.11 | $51.29 |
Medica Setting Facility Modifier None Typical Low $5.89 Median $8.71 Typical High $100.00 | Facility | None | $5.89 | $8.71 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $9.33 Typical High $25.70 | Professional | None | $5.37 | $9.33 | $25.70 |
Network Health Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $19.05 | Facility | None | $10.23 | $10.23 | $19.05 |
Network Health Setting Professional Modifier None Typical Low $7.08 Median $9.55 Typical High $26.30 | Professional | None | $7.08 | $9.55 | $26.30 |
Prevea360 Setting Facility Modifier None Typical Low $5.89 Median $7.76 Typical High $12.02 | Facility | None | $5.89 | $7.76 | $12.02 |
Quartz Setting Professional Modifier None Typical Low $10.47 Median $21.88 Typical High $33.11 | Professional | None | $10.47 | $21.88 | $33.11 |
Quartz Setting Professional Modifier None Typical Low $4.37 Median $4.47 Typical High $24.55 | Professional | None | $4.37 | $4.47 | $24.55 |
Security Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $24.55 | Professional | None | $19.95 | $19.95 | $24.55 |
Security Health Setting Professional Modifier None Typical Low $24.55 Median $51.29 Typical High $66.07 | Professional | None | $24.55 | $51.29 | $66.07 |
United Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
United Setting Professional Modifier None Typical Low $4.68 Median $7.41 Typical High $28.84 | Professional | None | $4.68 | $7.41 | $28.84 |
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 $5.62 Median $5.62 Typical High $32.36 | Professional | 52 · Reduced service | $5.62 | $5.62 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $12.88 | Professional | 53 · Discontinued | $2.24 | $2.24 | $12.88 |
Where Wisconsin sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 4th of 51
$13.80
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.