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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $35.48 Typical High $537.03 | Professional | None | $34.67 | $35.48 | $537.03 |
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 $14.45 Median $48.98 Typical High $213.80 | Professional | None | $14.45 | $48.98 | $213.80 |
CareSource Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $22.91 | Facility | None | $11.75 | $11.75 | $22.91 |
CareSource Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $87.10 Typical High $114.82 | Facility | None | $74.13 | $87.10 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $42.66 Typical High $91.20 | Professional | None | $22.39 | $42.66 | $91.20 |
DeanCare Setting Facility Modifier None Typical Low $28.18 Median $144.54 Typical High $229.09 | Facility | None | $28.18 | $144.54 | $229.09 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $35.48 Typical High $213.80 | Facility | None | $23.44 | $35.48 | $213.80 |
Medica Setting Professional Modifier None Typical Low $17.78 Median $29.51 Typical High $95.50 | Professional | None | $17.78 | $29.51 | $95.50 |
Network Health Setting Facility Modifier None Typical Low $35.48 Median $45.71 Typical High $83.18 | Facility | None | $35.48 | $45.71 | $83.18 |
Network Health Setting Professional Modifier None Typical Low $21.88 Median $30.20 Typical High $83.18 | Professional | None | $21.88 | $30.20 | $83.18 |
Prevea360 Setting Facility Modifier None Typical Low $23.44 Median $28.18 Typical High $37.15 | Facility | None | $23.44 | $28.18 | $37.15 |
Quartz Setting Professional Modifier None Typical Low $52.48 Median $97.72 Typical High $141.25 | Professional | None | $52.48 | $97.72 | $141.25 |
Quartz Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $75.86 | Professional | None | $22.39 | $22.39 | $75.86 |
Security Health Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $93.33 | Professional | None | $63.10 | $63.10 | $93.33 |
Security Health Setting Professional Modifier None Typical Low $93.33 Median $158.49 Typical High $204.17 | Professional | None | $93.33 | $158.49 | $204.17 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $81.28 | Professional | None | $12.30 | $17.78 | $81.28 |
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 $17.78 Median $17.78 Typical High $269.15 | Professional | 52 · Reduced service | $17.78 | $17.78 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $109.65 | Professional | 53 · Discontinued | $7.08 | $7.08 | $109.65 |
Where Wisconsin sits
The same service costs 4.4 times more in Alaska 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· 6th of 51
$43.65
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.