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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $512.86 | Professional | None | $29.51 | $29.51 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $63.10 Typical High $67.61 | Facility | None | $52.48 | $63.10 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $40.74 Typical High $177.83 | Professional | None | $12.02 | $40.74 | $177.83 |
CareSource Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $70.79 Typical High $93.33 | Facility | None | $61.66 | $70.79 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $41.69 Typical High $75.86 | Professional | None | $15.85 | $41.69 | $75.86 |
DeanCare Setting Facility Modifier None Typical Low $21.88 Median $120.23 Typical High $186.21 | Facility | None | $21.88 | $120.23 | $186.21 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $24.55 Typical High $144.54 | Facility | None | $19.50 | $24.55 | $144.54 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $24.55 Typical High $79.43 | Professional | None | $14.45 | $24.55 | $79.43 |
Network Health Setting Facility Modifier None Typical Low $29.51 Median $38.02 Typical High $69.18 | Facility | None | $29.51 | $38.02 | $69.18 |
Network Health Setting Professional Modifier None Typical Low $18.20 Median $25.12 Typical High $69.18 | Professional | None | $18.20 | $25.12 | $69.18 |
Prevea360 Setting Facility Modifier None Typical Low $19.50 Median $21.88 Typical High $30.90 | Facility | None | $19.50 | $21.88 | $30.90 |
Quartz Setting Professional Modifier None Typical Low $26.92 Median $57.54 Typical High $102.33 | Professional | None | $26.92 | $57.54 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $11.48 Median $15.85 Typical High $63.10 | Professional | None | $11.48 | $15.85 | $63.10 |
Security Health Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $64.57 | Professional | None | $52.48 | $52.48 | $64.57 |
Security Health Setting Professional Modifier None Typical Low $64.57 Median $102.33 Typical High $169.82 | Professional | None | $64.57 | $102.33 | $169.82 |
United Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
United Setting Professional Modifier None Typical Low $12.30 Median $20.42 Typical High $93.33 | Professional | None | $12.30 | $20.42 | $93.33 |
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 $14.45 Median $14.45 Typical High $257.04 | Professional | 52 · Reduced service | $14.45 | $14.45 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $102.33 | Professional | 53 · Discontinued | $5.89 | $5.89 | $102.33 |
Where Wisconsin sits
The same service costs 4.0 times more in Kansas than in Alabama. 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· 5th of 51
$37.15
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.