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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $112.20 | Professional | None | $15.14 | $15.14 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $33.11 Typical High $34.67 | Facility | None | $26.92 | $33.11 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $21.38 Typical High $81.28 | Professional | None | $5.50 | $21.38 | $81.28 |
CareSource Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $37.15 Typical High $48.98 | Facility | None | $31.62 | $37.15 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $21.88 Typical High $39.81 | Professional | None | $7.41 | $21.88 | $39.81 |
DeanCare Setting Facility Modifier None Typical Low $9.77 Median $54.95 Typical High $85.11 | Facility | None | $9.77 | $54.95 | $85.11 |
Medica Setting Facility Modifier None Typical Low $9.77 Median $12.02 Typical High $100.00 | Facility | None | $9.77 | $12.02 | $100.00 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $12.59 Typical High $36.31 | Professional | None | $7.41 | $12.59 | $36.31 |
Network Health Setting Facility Modifier None Typical Low $15.14 Median $16.98 Typical High $31.62 | Facility | None | $15.14 | $16.98 | $31.62 |
Network Health Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $35.48 | Professional | None | $9.55 | $12.88 | $35.48 |
Prevea360 Setting Facility Modifier None Typical Low $9.77 Median $10.72 Typical High $16.22 | Facility | None | $9.77 | $10.72 | $16.22 |
Quartz Setting Professional Modifier None Typical Low $14.13 Median $30.20 Typical High $46.77 | Professional | None | $14.13 | $30.20 | $46.77 |
Quartz Setting Professional Modifier None Typical Low $6.03 Median $7.41 Typical High $33.11 | Professional | None | $6.03 | $7.41 | $33.11 |
Security Health Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $26.92 | Professional | None | $11.48 | $11.48 | $26.92 |
Security Health Setting Professional Modifier None Typical Low $11.48 Median $43.65 Typical High $89.13 | Professional | None | $11.48 | $43.65 | $89.13 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $26.92 | Facility | None | $15.14 | $15.14 | $26.92 |
United Setting Professional Modifier None Typical Low $6.31 Median $10.23 Typical High $41.69 | Professional | None | $6.31 | $10.23 | $41.69 |
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 $7.59 Median $7.59 Typical High $54.95 | Professional | 52 · Reduced service | $7.59 | $7.59 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $22.39 | Professional | 53 · Discontinued | $3.02 | $3.02 | $22.39 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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
$17.38
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.