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 $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $85.11 | Professional | None | $9.77 | $9.77 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $20.89 Typical High $22.39 | Facility | None | $17.38 | $20.89 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $13.49 Typical High $42.66 | Professional | None | $3.31 | $13.49 | $42.66 |
CareSource Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $23.99 Typical High $31.62 | Facility | None | $20.89 | $23.99 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $14.13 Typical High $25.12 | Professional | None | $4.37 | $14.13 | $25.12 |
DeanCare Setting Facility Modifier None Typical Low $6.03 Median $28.84 Typical High $44.67 | Facility | None | $6.03 | $28.84 | $44.67 |
Medica Setting Facility Modifier None Typical Low $6.03 Median $7.59 Typical High $60.26 | Facility | None | $6.03 | $7.59 | $60.26 |
Medica Setting Professional Modifier None Typical Low $4.68 Median $8.13 Typical High $22.39 | Professional | None | $4.68 | $8.13 | $22.39 |
Network Health Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $16.60 | Facility | None | $8.91 | $8.91 | $16.60 |
Network Health Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $22.91 | Professional | None | $6.03 | $8.32 | $22.91 |
Prevea360 Setting Facility Modifier None Typical Low $6.03 Median $6.61 Typical High $10.23 | Facility | None | $6.03 | $6.61 | $10.23 |
Quartz Setting Professional Modifier None Typical Low $8.91 Median $19.05 Typical High $28.18 | Professional | None | $8.91 | $19.05 | $28.18 |
Quartz Setting Professional Modifier None Typical Low $3.89 Median $4.37 Typical High $20.89 | Professional | None | $3.89 | $4.37 | $20.89 |
Security Health Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $17.38 | Professional | None | $6.03 | $6.03 | $17.38 |
Security Health Setting Professional Modifier None Typical Low $6.03 Median $43.65 Typical High $56.23 | Professional | None | $6.03 | $43.65 | $56.23 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
United Setting Professional Modifier None Typical Low $4.07 Median $6.46 Typical High $25.70 | Professional | None | $4.07 | $6.46 | $25.70 |
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 $4.79 Median $4.79 Typical High $42.66 | Professional | 52 · Reduced service | $4.79 | $4.79 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $16.98 | Professional | 53 · Discontinued | $1.95 | $1.95 | $16.98 |
Where Wisconsin sits
The same service costs 4.3 times more in Kansas than in Nebraska. 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
$11.22
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.