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 $13.80 Median $14.45 Typical High $18.62 | Facility | None | $13.80 | $14.45 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.45 Typical High $177.83 | Professional | None | $14.13 | $14.45 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $31.62 Typical High $33.11 | Facility | None | $25.70 | $31.62 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $20.42 Typical High $75.86 | Professional | None | $6.03 | $20.42 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
CareSource Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $34.67 Typical High $45.71 | Facility | None | $29.51 | $34.67 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $20.42 Typical High $38.02 | Professional | None | $7.94 | $20.42 | $38.02 |
DeanCare Setting Facility Modifier None Typical Low $10.72 Median $51.29 Typical High $81.28 | Facility | None | $10.72 | $51.29 | $81.28 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $54.95 Typical High $141.25 | Facility | None | $10.72 | $54.95 | $141.25 |
Medica Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $45.71 | Professional | None | $7.24 | $12.02 | $45.71 |
Network Health Setting Facility Modifier None Typical Low $14.45 Median $16.22 Typical High $29.51 | Facility | None | $14.45 | $16.22 | $29.51 |
Network Health Setting Professional Modifier None Typical Low $9.12 Median $12.30 Typical High $33.88 | Professional | None | $9.12 | $12.30 | $33.88 |
Prevea360 Setting Facility Modifier None Typical Low $9.77 Median $10.96 Typical High $15.49 | Facility | None | $9.77 | $10.96 | $15.49 |
Quartz Setting Professional Modifier None Typical Low $13.49 Median $28.18 Typical High $50.12 | Professional | None | $13.49 | $28.18 | $50.12 |
Quartz Setting Professional Modifier None Typical Low $5.75 Median $7.94 Typical High $31.62 | Professional | None | $5.75 | $7.94 | $31.62 |
Security Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $31.62 | Professional | None | $25.70 | $25.70 | $31.62 |
Security Health Setting Professional Modifier None Typical Low $31.62 Median $43.65 Typical High $85.11 | Professional | None | $31.62 | $43.65 | $85.11 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
United Setting Professional Modifier None Typical Low $6.03 Median $9.77 Typical High $45.71 | Professional | None | $6.03 | $9.77 | $45.71 |
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 $7.24 Median $7.24 Typical High $91.20 | Professional | 52 · Reduced service | $7.24 | $7.24 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $36.31 | Professional | 53 · Discontinued | $2.88 | $2.88 | $36.31 |
Where Wisconsin sits
The same service costs 8.3 times more in Vermont 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· 8th of 51
$19.95
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.