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 $16.60 | Facility | None | $13.80 | $14.45 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $14.45 Typical High $269.15 | Professional | None | $11.22 | $14.45 | $269.15 |
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 $4.57 Median $15.14 Typical High $56.23 | Professional | None | $4.57 | $15.14 | $56.23 |
CareSource Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
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 $5.75 Median $16.98 Typical High $38.02 | Professional | None | $5.75 | $16.98 | $38.02 |
DeanCare Setting Facility Modifier None Typical Low $6.31 Median $41.69 Typical High $64.57 | Facility | None | $6.31 | $41.69 | $64.57 |
Medica Setting Facility Modifier None Typical Low $6.31 Median $14.45 Typical High $125.89 | Facility | None | $6.31 | $14.45 | $125.89 |
Medica Setting Professional Modifier None Typical Low $6.92 Median $11.48 Typical High $31.62 | Professional | None | $6.92 | $11.48 | $31.62 |
Network Health Setting Facility Modifier None Typical Low $12.88 Median $14.45 Typical High $34.67 | Facility | None | $12.88 | $14.45 | $34.67 |
Network Health Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $23.99 | Professional | None | $9.12 | $9.12 | $23.99 |
Prevea360 Setting Facility Modifier None Typical Low $6.31 Median $9.55 Typical High $14.45 | Facility | None | $6.31 | $9.55 | $14.45 |
Quartz Setting Professional Modifier None Typical Low $13.49 Median $27.54 Typical High $37.15 | Professional | None | $13.49 | $27.54 | $37.15 |
Quartz Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $22.39 | Professional | None | $5.75 | $5.75 | $22.39 |
Security Health Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $24.55 | Professional | None | $11.48 | $11.48 | $24.55 |
Security Health Setting Facility Modifier None Typical Low $67.61 Median $72.44 Typical High $83.18 | Facility | None | $67.61 | $72.44 | $83.18 |
Security Health Setting Professional Modifier None Typical Low $11.48 Median $34.67 Typical High $79.43 | Professional | None | $11.48 | $34.67 | $79.43 |
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 $5.75 Median $9.12 Typical High $35.48 | Professional | None | $5.75 | $9.12 | $35.48 |
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 $134.90 | Professional | 52 · Reduced service | $7.24 | $7.24 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $53.70 | Professional | 53 · Discontinued | $2.88 | $2.88 | $53.70 |
Where Wisconsin sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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
$15.14
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.