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 $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.25 Typical High $102.33 | Professional | None | $5.13 | $5.25 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $11.48 Typical High $12.02 | Facility | None | $9.55 | $11.48 | $12.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.19 Median $7.41 Typical High $32.36 | Professional | None | $2.19 | $7.41 | $32.36 |
CareSource Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
CareSource Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | None | $4.37 | $4.37 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $13.49 Typical High $18.20 | Facility | None | $11.75 | $13.49 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $7.94 Typical High $13.80 | Professional | None | $2.95 | $7.94 | $13.80 |
DeanCare Setting Facility Modifier None Typical Low $3.89 Median $21.88 Typical High $33.88 | Facility | None | $3.89 | $21.88 | $33.88 |
Medica Setting Facility Modifier None Typical Low $3.55 Median $4.37 Typical High $100.00 | Facility | None | $3.55 | $4.37 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.63 Median $4.37 Typical High $14.45 | Professional | None | $2.63 | $4.37 | $14.45 |
Network Health Setting Facility Modifier None Typical Low $5.25 Median $6.76 Typical High $12.59 | Facility | None | $5.25 | $6.76 | $12.59 |
Network Health Setting Professional Modifier None Typical Low $3.31 Median $4.47 Typical High $12.59 | Professional | None | $3.31 | $4.47 | $12.59 |
Prevea360 Setting Facility Modifier None Typical Low $3.55 Median $3.98 Typical High $5.62 | Facility | None | $3.55 | $3.98 | $5.62 |
Quartz Setting Professional Modifier None Typical Low $4.79 Median $10.23 Typical High $18.62 | Professional | None | $4.79 | $10.23 | $18.62 |
Quartz Setting Professional Modifier None Typical Low $2.19 Median $2.95 Typical High $11.48 | Professional | None | $2.19 | $2.95 | $11.48 |
Security Health Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $13.49 | Professional | None | $9.33 | $9.33 | $13.49 |
Security Health Setting Professional Modifier None Typical Low $13.49 Median $23.99 Typical High $30.90 | Professional | None | $13.49 | $23.99 | $30.90 |
United Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $15.14 | Facility | None | $5.25 | $5.25 | $15.14 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.72 Typical High $16.60 | Professional | None | $2.19 | $3.72 | $16.60 |
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 $2.63 Median $2.63 Typical High $51.29 | Professional | 52 · Reduced service | $2.63 | $2.63 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $20.42 | Professional | 53 · Discontinued | $1.07 | $1.07 | $20.42 |
Where Wisconsin sits
The same service costs 4.2 times more in Kansas 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· 8th of 51
$6.61
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.