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 $13.18 Median $13.80 Typical High $15.85 | Facility | None | $13.18 | $13.80 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $13.80 Typical High $147.91 | Professional | None | $10.96 | $13.80 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $30.20 Typical High $31.62 | Facility | None | $24.55 | $30.20 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $15.14 Typical High $56.23 | Professional | None | $4.57 | $15.14 | $56.23 |
CareSource Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
CareSource Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $33.88 Typical High $44.67 | Facility | None | $28.84 | $33.88 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $16.60 Typical High $36.31 | Professional | None | $5.62 | $16.60 | $36.31 |
DeanCare Setting Facility Modifier None Typical Low $6.03 Median $41.69 Typical High $64.57 | Facility | None | $6.03 | $41.69 | $64.57 |
Medica Setting Facility Modifier None Typical Low $6.03 Median $60.26 Typical High $173.78 | Facility | None | $6.03 | $60.26 | $173.78 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $11.48 Typical High $31.62 | Professional | None | $6.76 | $11.48 | $31.62 |
Network Health Setting Facility Modifier None Typical Low $12.59 Median $13.80 Typical High $33.11 | Facility | None | $12.59 | $13.80 | $33.11 |
Network Health Setting Professional Modifier None Typical Low $8.71 Median $11.48 Typical High $32.36 | Professional | None | $8.71 | $11.48 | $32.36 |
Prevea360 Setting Facility Modifier None Typical Low $6.03 Median $9.12 Typical High $13.80 | Facility | None | $6.03 | $9.12 | $13.80 |
Quartz Setting Professional Modifier None Typical Low $12.88 Median $26.92 Typical High $35.48 | Professional | None | $12.88 | $26.92 | $35.48 |
Quartz Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $21.88 | Professional | None | $5.62 | $5.62 | $21.88 |
Security Health Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $24.55 | Professional | None | $11.48 | $11.48 | $24.55 |
Security Health Setting Facility Modifier None Typical Low $64.57 Median $69.18 Typical High $79.43 | Facility | None | $64.57 | $69.18 | $79.43 |
Security Health Setting Professional Modifier None Typical Low $11.48 Median $33.88 Typical High $79.43 | Professional | None | $11.48 | $33.88 | $79.43 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $5.75 Median $9.12 Typical High $35.48 | Professional | None | $5.75 | $9.12 | $35.48 |
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 $6.92 Median $6.92 Typical High $74.13 | Professional | 52 · Reduced service | $6.92 | $6.92 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $29.51 | Professional | 53 · Discontinued | $2.75 | $2.75 | $29.51 |
Where Wisconsin sits
The same service costs 24.0 times more in Vermont 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· 11th 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.