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 $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $61.66 | Professional | None | $9.33 | $9.33 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $20.42 Typical High $21.38 | Facility | None | $16.98 | $20.42 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.16 Median $13.18 Typical High $31.62 | Professional | None | $3.16 | $13.18 | $31.62 |
CareSource Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
CareSource Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $22.91 Typical High $30.20 | Facility | None | $19.95 | $22.91 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $13.49 Typical High $24.55 | Professional | None | $3.72 | $13.49 | $24.55 |
DeanCare Setting Facility Modifier None Typical Low $4.68 Median $16.22 Typical High $25.12 | Facility | None | $4.68 | $16.22 | $25.12 |
Medica Setting Facility Modifier None Typical Low $4.68 Median $7.41 Typical High $70.79 | Facility | None | $4.68 | $7.41 | $70.79 |
Medica Setting Professional Modifier None Typical Low $2.69 Median $7.24 Typical High $21.88 | Professional | None | $2.69 | $7.24 | $21.88 |
Network Health Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $12.02 | Facility | None | $5.01 | $5.01 | $12.02 |
Network Health Setting Professional Modifier None Typical Low $5.89 Median $7.76 Typical High $21.88 | Professional | None | $5.89 | $7.76 | $21.88 |
Prevea360 Setting Facility Modifier None Typical Low $4.68 Median $6.46 Typical High $10.00 | Facility | None | $4.68 | $6.46 | $10.00 |
Quartz Setting Professional Modifier None Typical Low $8.51 Median $17.38 Typical High $25.12 | Professional | None | $8.51 | $17.38 | $25.12 |
Quartz Setting Professional Modifier None Typical Low $3.47 Median $3.72 Typical High $20.42 | Professional | None | $3.47 | $3.72 | $20.42 |
Security Health Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $16.60 | Professional | None | $3.31 | $3.31 | $16.60 |
Security Health Setting Professional Modifier None Typical Low $3.31 Median $16.22 Typical High $54.95 | Professional | None | $3.31 | $16.22 | $54.95 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $3.31 Median $6.31 Typical High $23.99 | Professional | None | $3.31 | $6.31 | $23.99 |
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 $4.68 Median $4.68 Typical High $30.20 | Professional | 52 · Reduced service | $4.68 | $4.68 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $12.30 | Professional | 53 · Discontinued | $1.86 | $1.86 | $12.30 |
Where Wisconsin sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 6th of 51
$10.00
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.