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 $6.31 Median $6.31 Typical High $8.13 | Facility | None | $6.31 | $6.31 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.31 Typical High $57.54 | Professional | None | $6.17 | $6.31 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $13.49 Typical High $14.45 | Facility | None | $11.22 | $13.49 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $8.71 Typical High $25.70 | Professional | None | $2.95 | $8.71 | $25.70 |
CareSource Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $4.17 | Facility | None | $4.17 | $4.17 | $4.17 |
CareSource Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $14.79 Typical High $19.50 | Facility | None | $12.59 | $14.79 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $8.71 Typical High $16.22 | Professional | None | $3.47 | $8.71 | $16.22 |
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 $11.48 Typical High $67.61 | Facility | None | $4.68 | $11.48 | $67.61 |
Medica Setting Professional Modifier None Typical Low $2.69 Median $5.25 Typical High $16.98 | Professional | None | $2.69 | $5.25 | $16.98 |
Network Health Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $9.33 | Facility | None | $5.01 | $5.01 | $9.33 |
Network Health Setting Professional Modifier None Typical Low $3.89 Median $5.37 Typical High $14.79 | Professional | None | $3.89 | $5.37 | $14.79 |
Prevea360 Setting Facility Modifier None Typical Low $4.17 Median $4.68 Typical High $6.61 | Facility | None | $4.17 | $4.68 | $6.61 |
Quartz Setting Professional Modifier None Typical Low $5.89 Median $12.59 Typical High $21.88 | Professional | None | $5.89 | $12.59 | $21.88 |
Quartz Setting Professional Modifier None Typical Low $2.45 Median $3.47 Typical High $13.49 | Professional | None | $2.45 | $3.47 | $13.49 |
Security Health Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $15.49 | Professional | None | $11.22 | $11.22 | $15.49 |
Security Health Setting Professional Modifier None Typical Low $15.49 Median $28.18 Typical High $36.31 | Professional | None | $15.49 | $28.18 | $36.31 |
United Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
United Setting Professional Modifier None Typical Low $2.34 Median $4.17 Typical High $19.95 | Professional | None | $2.34 | $4.17 | $19.95 |
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 $3.16 Median $3.16 Typical High $28.84 | Professional | 52 · Reduced service | $3.16 | $3.16 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $11.48 | Professional | 53 · Discontinued | $1.26 | $1.26 | $11.48 |
Where Wisconsin sits
The same service costs 4.5 times more in Alaska 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· 9th of 51
$7.59
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.