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 $5.89 Median $6.17 Typical High $7.94 | Facility | None | $5.89 | $6.17 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.17 Typical High $85.11 | Professional | None | $6.03 | $6.17 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $13.49 Typical High $14.13 | Facility | None | $11.22 | $13.49 | $14.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $8.71 Typical High $38.02 | Professional | None | $3.80 | $8.71 | $38.02 |
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 $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
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 $4.57 Median $25.70 Typical High $39.81 | Facility | None | $4.57 | $25.70 | $39.81 |
Medica Setting Facility Modifier None Typical Low $6.17 Median $69.18 Typical High $120.23 | Facility | None | $6.17 | $69.18 | $120.23 |
Medica Setting Professional Modifier None Typical Low $3.09 Median $5.13 Typical High $19.50 | Professional | None | $3.09 | $5.13 | $19.50 |
Network Health Setting Facility Modifier None Typical Low $6.17 Median $7.94 Typical High $14.79 | Facility | None | $6.17 | $7.94 | $14.79 |
Network Health Setting Professional Modifier None Typical Low $3.89 Median $5.25 Typical High $14.79 | Professional | None | $3.89 | $5.25 | $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 $9.55 Median $9.55 Typical High $10.96 | Professional | None | $9.55 | $9.55 | $10.96 |
Security Health Setting Professional Modifier None Typical Low $9.55 Median $26.92 Typical High $36.31 | Professional | None | $9.55 | $26.92 | $36.31 |
United Setting Facility Modifier None Typical Low $1.70 Median $1.70 Typical High $6.17 | Facility | None | $1.70 | $1.70 | $6.17 |
United Setting Professional Modifier None Typical Low $2.57 Median $4.37 Typical High $19.50 | Professional | None | $2.57 | $4.37 | $19.50 |
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 $3.09 Median $3.09 Typical High $45.71 | Professional | 52 · Reduced service | $3.09 | $3.09 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $18.20 | Professional | 53 · Discontinued | $1.23 | $1.23 | $18.20 |
Where Wisconsin sits
The same service costs 17.8 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· 11th 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.