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 $11.48 Median $11.48 Typical High $16.22 | Facility | None | $11.48 | $11.48 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.48 Typical High $190.55 | Professional | None | $11.22 | $11.48 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $25.12 Typical High $26.30 | Facility | None | $20.42 | $25.12 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $16.22 Typical High $69.18 | Professional | None | $4.68 | $16.22 | $69.18 |
CareSource Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
CareSource Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $28.18 Typical High $37.15 | Facility | None | $24.55 | $28.18 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $16.60 Typical High $30.20 | Professional | None | $6.31 | $16.60 | $30.20 |
DeanCare Setting Facility Modifier None Typical Low $8.51 Median $47.86 Typical High $74.13 | Facility | None | $8.51 | $47.86 | $74.13 |
Medica Setting Facility Modifier None Typical Low $7.94 Median $11.48 Typical High $104.71 | Facility | None | $7.94 | $11.48 | $104.71 |
Medica Setting Professional Modifier None Typical Low $5.62 Median $9.55 Typical High $31.62 | Professional | None | $5.62 | $9.55 | $31.62 |
Network Health Setting Facility Modifier None Typical Low $11.48 Median $14.79 Typical High $27.54 | Facility | None | $11.48 | $14.79 | $27.54 |
Network Health Setting Professional Modifier None Typical Low $7.24 Median $9.77 Typical High $26.92 | Professional | None | $7.24 | $9.77 | $26.92 |
Prevea360 Setting Facility Modifier None Typical Low $7.59 Median $8.71 Typical High $12.30 | Facility | None | $7.59 | $8.71 | $12.30 |
Quartz Setting Professional Modifier None Typical Low $10.72 Median $22.91 Typical High $39.81 | Professional | None | $10.72 | $22.91 | $39.81 |
Quartz Setting Professional Modifier None Typical Low $4.68 Median $6.31 Typical High $25.12 | Professional | None | $4.68 | $6.31 | $25.12 |
Security Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $52.48 | Professional | None | $20.42 | $20.42 | $52.48 |
Security Health Setting Professional Modifier None Typical Low $33.88 Median $52.48 Typical High $67.61 | Professional | None | $33.88 | $52.48 | $67.61 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $4.79 Median $8.13 Typical High $36.31 | Professional | None | $4.79 | $8.13 | $36.31 |
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 $5.75 Median $5.75 Typical High $95.50 | Professional | 52 · Reduced service | $5.75 | $5.75 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $38.02 | Professional | 53 · Discontinued | $2.29 | $2.29 | $38.02 |
Where Wisconsin sits
The same service costs 5.9 times more in Alaska 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· 9th of 51
$14.79
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.