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 $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $141.25 | Professional | None | $4.68 | $4.68 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $10.23 Typical High $10.96 | Facility | None | $8.51 | $10.23 | $10.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.95 Median $6.61 Typical High $28.84 | Professional | None | $1.95 | $6.61 | $28.84 |
CareSource Setting Facility Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Facility | None | $2.63 | $2.63 | $2.63 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $11.48 Typical High $15.14 | Facility | None | $10.00 | $11.48 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $6.76 Typical High $12.30 | Professional | None | $2.63 | $6.76 | $12.30 |
DeanCare Setting Facility Modifier None Typical Low $3.55 Median $19.50 Typical High $30.20 | Facility | None | $3.55 | $19.50 | $30.20 |
Medica Setting Facility Modifier None Typical Low $3.16 Median $3.89 Typical High $60.26 | Facility | None | $3.16 | $3.89 | $60.26 |
Medica Setting Professional Modifier None Typical Low $2.29 Median $3.98 Typical High $12.88 | Professional | None | $2.29 | $3.98 | $12.88 |
Network Health Setting Facility Modifier None Typical Low $4.68 Median $6.03 Typical High $11.22 | Facility | None | $4.68 | $6.03 | $11.22 |
Network Health Setting Professional Modifier None Typical Low $2.95 Median $3.98 Typical High $11.22 | Professional | None | $2.95 | $3.98 | $11.22 |
Prevea360 Setting Facility Modifier None Typical Low $3.16 Median $3.55 Typical High $5.01 | Facility | None | $3.16 | $3.55 | $5.01 |
Quartz Setting Professional Modifier None Typical Low $4.47 Median $9.55 Typical High $16.60 | Professional | None | $4.47 | $9.55 | $16.60 |
Quartz Setting Professional Modifier None Typical Low $1.86 Median $2.63 Typical High $10.23 | Professional | None | $1.86 | $2.63 | $10.23 |
Security Health Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $30.90 | Professional | None | $8.32 | $8.32 | $30.90 |
Security Health Setting Professional Modifier None Typical Low $14.45 Median $27.54 Typical High $30.90 | Professional | None | $14.45 | $27.54 | $30.90 |
United Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
United Setting Professional Modifier None Typical Low $1.95 Median $3.31 Typical High $15.14 | Professional | None | $1.95 | $3.31 | $15.14 |
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 $2.34 Median $2.34 Typical High $70.79 | Professional | 52 · Reduced service | $2.34 | $2.34 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $0.95 Typical High $28.18 | Professional | 53 · Discontinued | $0.95 | $0.95 | $28.18 |
Where Wisconsin sits
The same service costs 3.4 times more in Kansas 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· 7th of 51
$6.03
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.