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 $5.13 Median $5.13 Typical High $5.89 | Facility | None | $5.13 | $5.13 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.13 Typical High $47.86 | Professional | None | $5.01 | $5.13 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $11.22 Typical High $11.75 | Facility | None | $9.12 | $11.22 | $11.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.09 Median $7.08 Typical High $30.90 | Professional | None | $2.09 | $7.08 | $30.90 |
CareSource Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
CareSource Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | None | $4.27 | $4.27 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $12.59 Typical High $16.60 | Facility | None | $10.72 | $12.59 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $7.41 Typical High $13.18 | Professional | None | $2.75 | $7.41 | $13.18 |
DeanCare Setting Facility Modifier None Typical Low $3.80 Median $21.38 Typical High $33.11 | Facility | None | $3.80 | $21.38 | $33.11 |
Medica Setting Facility Modifier None Typical Low $3.47 Median $5.13 Typical High $100.00 | Facility | None | $3.47 | $5.13 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.51 Median $4.27 Typical High $14.13 | Professional | None | $2.51 | $4.27 | $14.13 |
Network Health Setting Facility Modifier None Typical Low $5.13 Median $6.61 Typical High $12.30 | Facility | None | $5.13 | $6.61 | $12.30 |
Network Health Setting Professional Modifier None Typical Low $3.24 Median $4.37 Typical High $12.02 | Professional | None | $3.24 | $4.37 | $12.02 |
Prevea360 Setting Facility Modifier None Typical Low $3.39 Median $3.80 Typical High $5.50 | Facility | None | $3.39 | $3.80 | $5.50 |
Quartz Setting Professional Modifier None Typical Low $4.79 Median $10.23 Typical High $17.78 | Professional | None | $4.79 | $10.23 | $17.78 |
Quartz Setting Professional Modifier None Typical Low $2.00 Median $2.75 Typical High $11.22 | Professional | None | $2.00 | $2.75 | $11.22 |
Security Health Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $9.12 | Professional | None | $5.13 | $5.13 | $9.12 |
Security Health Setting Professional Modifier None Typical Low $5.13 Median $23.44 Typical High $30.20 | Professional | None | $5.13 | $23.44 | $30.20 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $8.91 | Facility | None | $5.13 | $5.13 | $8.91 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.55 Typical High $16.22 | Professional | None | $2.14 | $3.55 | $16.22 |
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 $2.57 Median $2.57 Typical High $23.99 | Professional | 52 · Reduced service | $2.57 | $2.57 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.02 Typical High $9.55 | Professional | 53 · Discontinued | $1.02 | $1.02 | $9.55 |
Where Wisconsin sits
The same service costs 15.1 times more in Vermont 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· 11th of 51
$6.17
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.