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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $45.71 Typical High $1,584.89 | Professional | None | $30.90 | $45.71 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $97.72 Typical High $104.71 | Facility | None | $81.28 | $97.72 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $37.15 Typical High $72.44 | Professional | None | $4.79 | $37.15 | $72.44 |
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 $95.50 Median $109.65 Typical High $144.54 | Facility | None | $95.50 | $109.65 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $53.70 Typical High $117.49 | Professional | None | $18.20 | $53.70 | $117.49 |
DeanCare Setting Facility Modifier None Typical Low $19.50 Median $47.86 Typical High $70.79 | Facility | None | $19.50 | $47.86 | $70.79 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $33.88 Typical High $177.83 | Facility | None | $19.50 | $33.88 | $177.83 |
Medica Setting Professional Modifier None Typical Low $7.24 Median $19.95 Typical High $38.02 | Professional | None | $7.24 | $19.95 | $38.02 |
Network Health Setting Facility Modifier None Typical Low $40.74 Median $45.71 Typical High $107.15 | Facility | None | $40.74 | $45.71 | $107.15 |
Network Health Setting Professional Modifier None Typical Low $28.18 Median $38.02 Typical High $107.15 | Professional | None | $28.18 | $38.02 | $107.15 |
Prevea360 Setting Facility Modifier None Typical Low $19.50 Median $29.51 Typical High $45.71 | Facility | None | $19.50 | $29.51 | $45.71 |
Quartz Setting Professional Modifier None Typical Low $41.69 Median $87.10 Typical High $112.20 | Professional | None | $41.69 | $87.10 | $112.20 |
Quartz Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $70.79 | Professional | None | $18.20 | $18.20 | $70.79 |
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 $38.02 Typical High $204.17 | Professional | None | $12.02 | $38.02 | $204.17 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $7.24 Median $19.95 Typical High $38.02 | Professional | None | $7.24 | $19.95 | $38.02 |
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 $22.39 Median $22.39 Typical High $794.33 | Professional | 52 · Reduced service | $22.39 | $22.39 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $316.23 | Professional | 53 · Discontinued | $9.12 | $9.12 | $316.23 |
Where Wisconsin sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 4th of 51
$41.69
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.