How much rates vary
Facilitymedian $51 · 10th to 90th $13 to $145Professionalmedian $32 · 10th to 90th $12 to $123
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 $30.20 Median $30.20 Typical High $42.66 | Facility | None | $30.20 | $30.20 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $338.84 | Professional | None | $30.20 | $30.20 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $69.18 | Facility | None | $54.95 | $66.07 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $33.11 Typical High $123.03 | Professional | None | $10.23 | $33.11 | $123.03 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
CareSource Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $74.13 Typical High $97.72 | Facility | None | $64.57 | $74.13 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $36.31 Typical High $79.43 | Professional | None | $12.30 | $36.31 | $79.43 |
DeanCare Setting Facility Modifier None Typical Low $13.18 Median $93.33 Typical High $144.54 | Facility | None | $13.18 | $93.33 | $144.54 |
Medica Setting Facility Modifier None Typical Low $13.18 Median $30.20 Typical High $194.98 | Facility | None | $13.18 | $30.20 | $194.98 |
Medica Setting Professional Modifier None Typical Low $14.79 Median $25.70 Typical High $70.79 | Professional | None | $14.79 | $25.70 | $70.79 |
Network Health Setting Facility Modifier None Typical Low $27.54 Median $30.20 Typical High $72.44 | Facility | None | $27.54 | $30.20 | $72.44 |
Network Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $51.29 | Professional | None | $19.05 | $19.05 | $51.29 |
Prevea360 Setting Facility Modifier None Typical Low $13.18 Median $20.42 Typical High $30.20 | Facility | None | $13.18 | $20.42 | $30.20 |
Quartz Setting Professional Modifier None Typical Low $28.18 Median $57.54 Typical High $75.86 | Professional | None | $28.18 | $57.54 | $75.86 |
Quartz Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $47.86 | Professional | None | $12.30 | $12.30 | $47.86 |
Security Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $53.70 | Professional | None | $25.70 | $25.70 | $53.70 |
Security Health Setting Facility Modifier None Typical Low $141.25 Median $154.88 Typical High $173.78 | Facility | None | $141.25 | $154.88 | $173.78 |
Security Health Setting Professional Modifier None Typical Low $25.70 Median $138.04 Typical High $173.78 | Professional | None | $25.70 | $138.04 | $173.78 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $12.59 Median $20.42 Typical High $77.62 | Professional | None | $12.59 | $20.42 | $77.62 |
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 $15.14 Median $15.14 Typical High $169.82 | Professional | 52 · Reduced service | $15.14 | $15.14 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $67.61 | Professional | 53 · Discontinued | $6.17 | $6.17 | $67.61 |
Where Wisconsin sits
The same service costs 3.8 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· 9th of 51
$33.11
AK $57.54AL $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.