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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $263.03 | Professional | None | $14.45 | $14.45 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $31.62 Typical High $33.11 | Facility | None | $26.30 | $31.62 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $20.42 Typical High $89.13 | Professional | None | $6.03 | $20.42 | $89.13 |
CareSource Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
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 $60.26 Typical High $93.33 | Facility | None | $10.72 | $60.26 | $93.33 |
Medica Setting Facility Modifier None Typical Low $9.77 Median $12.02 Typical High $87.10 | Facility | None | $9.77 | $12.02 | $87.10 |
Medica Setting Professional Modifier None Typical Low $7.08 Median $12.02 Typical High $39.81 | Professional | None | $7.08 | $12.02 | $39.81 |
Network Health Setting Facility Modifier None Typical Low $14.45 Median $18.62 Typical High $34.67 | Facility | None | $14.45 | $18.62 | $34.67 |
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 $51.29 | Professional | None | $13.49 | $28.18 | $51.29 |
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 $42.66 | Professional | None | $25.70 | $25.70 | $42.66 |
Security Health Setting Professional Modifier None Typical Low $42.66 Median $47.86 Typical High $85.11 | Professional | None | $42.66 | $47.86 | $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 $10.23 Typical High $45.71 | Professional | None | $6.03 | $10.23 | $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 $131.83 | Professional | 52 · Reduced service | $7.24 | $7.24 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $52.48 | Professional | 53 · Discontinued | $2.88 | $2.88 | $52.48 |
Where Wisconsin sits
The same service costs 4.2 times more in Kansas 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
$18.20
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.