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 $25.70 Median $26.92 Typical High $34.67 | Facility | None | $25.70 | $26.92 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.92 Typical High $398.11 | Professional | None | $26.30 | $26.92 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $40.74 Typical High $43.65 | Facility | None | $33.88 | $40.74 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $37.15 Typical High $162.18 | Professional | None | $10.96 | $37.15 | $162.18 |
CareSource Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $17.38 | Facility | None | $11.75 | $11.75 | $17.38 |
CareSource Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $64.57 Typical High $85.11 | Facility | None | $56.23 | $64.57 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $32.36 Typical High $75.86 | Professional | None | $19.05 | $32.36 | $75.86 |
DeanCare Setting Facility Modifier None Typical Low $21.38 Median $109.65 Typical High $173.78 | Facility | None | $21.38 | $109.65 | $173.78 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $26.92 Typical High $204.17 | Facility | None | $18.20 | $26.92 | $204.17 |
Medica Setting Professional Modifier None Typical Low $13.49 Median $22.39 Typical High $72.44 | Professional | None | $13.49 | $22.39 | $72.44 |
Network Health Setting Facility Modifier None Typical Low $26.92 Median $34.67 Typical High $64.57 | Facility | None | $26.92 | $34.67 | $64.57 |
Network Health Setting Professional Modifier None Typical Low $16.60 Median $22.91 Typical High $63.10 | Professional | None | $16.60 | $22.91 | $63.10 |
Prevea360 Setting Facility Modifier None Typical Low $17.78 Median $21.38 Typical High $28.84 | Facility | None | $17.78 | $21.38 | $28.84 |
Quartz Setting Professional Modifier None Typical Low $44.67 Median $91.20 Typical High $131.83 | Professional | None | $44.67 | $91.20 | $131.83 |
Quartz Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $57.54 | Professional | None | $19.05 | $19.05 | $57.54 |
Security Health Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $72.44 | Professional | None | $47.86 | $47.86 | $72.44 |
Security Health Setting Professional Modifier None Typical Low $72.44 Median $123.03 Typical High $154.88 | Professional | None | $72.44 | $123.03 | $154.88 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $11.22 Median $17.78 Typical High $61.66 | Professional | None | $11.22 | $17.78 | $61.66 |
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 $13.49 Median $13.49 Typical High $199.53 | Professional | 52 · Reduced service | $13.49 | $13.49 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $79.43 | Professional | 53 · Discontinued | $5.37 | $5.37 | $79.43 |
Where Wisconsin sits
The same service costs 4.8 times more in Minnesota 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· 10th of 51
$34.67
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.