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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $269.15 | Professional | None | $18.62 | $18.62 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $40.74 Typical High $42.66 | Facility | None | $33.88 | $40.74 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.76 Median $26.30 Typical High $112.20 | Professional | None | $7.76 | $26.30 | $112.20 |
CareSource Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $45.71 Typical High $58.88 | Facility | None | $38.90 | $45.71 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $26.92 Typical High $48.98 | Professional | None | $8.32 | $26.92 | $48.98 |
DeanCare Setting Facility Modifier None Typical Low $13.80 Median $77.62 Typical High $120.23 | Facility | None | $13.80 | $77.62 | $120.23 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $15.85 Typical High $74.13 | Facility | None | $12.59 | $15.85 | $74.13 |
Medica Setting Professional Modifier None Typical Low $9.33 Median $15.49 Typical High $51.29 | Professional | None | $9.33 | $15.49 | $51.29 |
Network Health Setting Facility Modifier None Typical Low $18.62 Median $23.99 Typical High $44.67 | Facility | None | $18.62 | $23.99 | $44.67 |
Network Health Setting Professional Modifier None Typical Low $11.75 Median $15.85 Typical High $43.65 | Professional | None | $11.75 | $15.85 | $43.65 |
Prevea360 Setting Facility Modifier None Typical Low $12.59 Median $14.13 Typical High $19.95 | Facility | None | $12.59 | $14.13 | $19.95 |
Quartz Setting Professional Modifier None Typical Low $17.38 Median $37.15 Typical High $64.57 | Professional | None | $17.38 | $37.15 | $64.57 |
Quartz Setting Professional Modifier None Typical Low $7.41 Median $10.23 Typical High $40.74 | Professional | None | $7.41 | $10.23 | $40.74 |
Security Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $64.57 | Professional | None | $33.11 | $33.11 | $64.57 |
Security Health Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $117.49 | Professional | None | $64.57 | $85.11 | $117.49 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
United Setting Professional Modifier None Typical Low $7.76 Median $13.49 Typical High $58.88 | Professional | None | $7.76 | $13.49 | $58.88 |
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 $9.33 Median $9.33 Typical High $134.90 | Professional | 52 · Reduced service | $9.33 | $9.33 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $53.70 | Professional | 53 · Discontinued | $3.72 | $3.72 | $53.70 |
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· 5th of 51
$23.99
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.