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 $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $416.87 | Professional | None | $20.42 | $20.42 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $43.65 Typical High $46.77 | Facility | None | $36.31 | $43.65 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $28.18 Typical High $123.03 | Professional | None | $8.32 | $28.18 | $123.03 |
CareSource Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $48.98 Typical High $64.57 | Facility | None | $42.66 | $48.98 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $28.84 Typical High $52.48 | Professional | None | $11.22 | $28.84 | $52.48 |
DeanCare Setting Facility Modifier None Typical Low $15.14 Median $83.18 Typical High $131.83 | Facility | None | $15.14 | $83.18 | $131.83 |
Medica Setting Facility Modifier None Typical Low $13.49 Median $16.98 Typical High $100.00 | Facility | None | $13.49 | $16.98 | $100.00 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $16.98 Typical High $54.95 | Professional | None | $10.23 | $16.98 | $54.95 |
Network Health Setting Facility Modifier None Typical Low $20.42 Median $26.30 Typical High $47.86 | Facility | None | $20.42 | $26.30 | $47.86 |
Network Health Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $47.86 | Professional | None | $12.59 | $17.38 | $47.86 |
Prevea360 Setting Facility Modifier None Typical Low $13.49 Median $15.14 Typical High $21.88 | Facility | None | $13.49 | $15.14 | $21.88 |
Quartz Setting Professional Modifier None Typical Low $19.05 Median $39.81 Typical High $70.79 | Professional | None | $19.05 | $39.81 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $8.13 Median $11.22 Typical High $43.65 | Professional | None | $8.13 | $11.22 | $43.65 |
Security Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $229.09 | Professional | None | $36.31 | $36.31 | $229.09 |
Security Health Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $229.09 | Professional | None | $87.10 | $117.49 | $229.09 |
United Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $8.51 Median $14.79 Typical High $64.57 | Professional | None | $8.51 | $14.79 | $64.57 |
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 $10.23 Median $10.23 Typical High $208.93 | Professional | 52 · Reduced service | $10.23 | $10.23 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $83.18 | Professional | 53 · Discontinued | $4.07 | $4.07 | $83.18 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in Nebraska. 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· 6th of 51
$25.70
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.