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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $1,698.24 | Professional | None | $14.45 | $14.45 | $1,698.24 |
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 $4.79 Median $15.85 Typical High $58.88 | Professional | None | $4.79 | $15.85 | $58.88 |
CareSource Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | 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 $43.65 Typical High $67.61 | Facility | None | $6.31 | $43.65 | $67.61 |
Medica Setting Facility Modifier None Typical Low $6.31 Median $11.22 Typical High $60.26 | Facility | None | $6.31 | $11.22 | $60.26 |
Medica Setting Professional Modifier None Typical Low $6.92 Median $12.02 Typical High $33.11 | Professional | None | $6.92 | $12.02 | $33.11 |
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 $12.02 Median $12.02 Typical High $25.70 | Professional | None | $12.02 | $12.02 | $25.70 |
Security Health Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $83.18 | Facility | None | $60.26 | $72.44 | $83.18 |
Security Health Setting Professional Modifier None Typical Low $12.02 Median $64.57 Typical High $83.18 | Professional | None | $12.02 | $64.57 | $83.18 |
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 $6.03 Median $9.55 Typical High $37.15 | Professional | None | $6.03 | $9.55 | $37.15 |
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 $851.14 | Professional | 52 · Reduced service | $7.24 | $7.24 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $338.84 | Professional | 53 · Discontinued | $2.88 | $2.88 | $338.84 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in West Virginia. 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.