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 $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $245.47 | Professional | None | $12.88 | $12.88 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $27.54 Typical High $29.51 | Facility | None | $22.91 | $27.54 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $17.78 Typical High $51.29 | Professional | None | $5.25 | $17.78 | $51.29 |
CareSource Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $31.62 Typical High $41.69 | Facility | None | $26.92 | $31.62 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $18.62 Typical High $33.11 | Professional | None | $7.08 | $18.62 | $33.11 |
DeanCare Setting Facility Modifier None Typical Low $9.55 Median $34.67 Typical High $53.70 | Facility | None | $9.55 | $34.67 | $53.70 |
Medica Setting Facility Modifier None Typical Low $8.51 Median $10.72 Typical High $60.26 | Facility | None | $8.51 | $10.72 | $60.26 |
Medica Setting Professional Modifier None Typical Low $5.75 Median $10.72 Typical High $34.67 | Professional | None | $5.75 | $10.72 | $34.67 |
Network Health Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $19.95 | Facility | None | $10.72 | $10.72 | $19.95 |
Network Health Setting Professional Modifier None Typical Low $7.94 Median $10.96 Typical High $30.20 | Professional | None | $7.94 | $10.96 | $30.20 |
Prevea360 Setting Facility Modifier None Typical Low $8.51 Median $9.55 Typical High $13.49 | Facility | None | $8.51 | $9.55 | $13.49 |
Quartz Setting Professional Modifier None Typical Low $11.75 Median $25.12 Typical High $44.67 | Professional | None | $11.75 | $25.12 | $44.67 |
Quartz Setting Professional Modifier None Typical Low $5.13 Median $7.08 Typical High $27.54 | Professional | None | $5.13 | $7.08 | $27.54 |
Security Health Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $22.91 | Professional | None | $7.24 | $7.24 | $22.91 |
Security Health Setting Professional Modifier None Typical Low $7.24 Median $57.54 Typical High $74.13 | Professional | None | $7.24 | $57.54 | $74.13 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
United Setting Professional Modifier None Typical Low $4.47 Median $8.51 Typical High $40.74 | Professional | None | $4.47 | $8.51 | $40.74 |
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 $6.46 Median $6.46 Typical High $123.03 | Professional | 52 · Reduced service | $6.46 | $6.46 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $48.98 | Professional | 53 · Discontinued | $2.51 | $2.51 | $48.98 |
Where Wisconsin sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 7th of 51
$15.49
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.