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 $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.85 Typical High $323.59 | Professional | None | $15.49 | $15.85 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $34.67 Typical High $36.31 | Facility | None | $28.18 | $34.67 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $21.88 Typical High $56.23 | Professional | None | $6.46 | $21.88 | $56.23 |
CareSource Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $38.90 Typical High $51.29 | Facility | None | $33.11 | $38.90 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $22.91 Typical High $40.74 | Professional | None | $8.71 | $22.91 | $40.74 |
DeanCare Setting Facility Modifier None Typical Low $11.75 Median $28.84 Typical High $44.67 | Facility | None | $11.75 | $28.84 | $44.67 |
Medica Setting Facility Modifier None Typical Low $10.47 Median $13.18 Typical High $104.71 | Facility | None | $10.47 | $13.18 | $104.71 |
Medica Setting Professional Modifier None Typical Low $4.90 Median $13.18 Typical High $43.65 | Professional | None | $4.90 | $13.18 | $43.65 |
Network Health Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $20.42 | Facility | None | $8.91 | $8.91 | $20.42 |
Network Health Setting Professional Modifier None Typical Low $10.00 Median $13.18 Typical High $37.15 | Professional | None | $10.00 | $13.18 | $37.15 |
Prevea360 Setting Facility Modifier None Typical Low $10.47 Median $11.75 Typical High $16.98 | Facility | None | $10.47 | $11.75 | $16.98 |
Quartz Setting Professional Modifier None Typical Low $14.45 Median $30.90 Typical High $54.95 | Professional | None | $14.45 | $30.90 | $54.95 |
Quartz Setting Professional Modifier None Typical Low $6.31 Median $8.71 Typical High $34.67 | Professional | None | $6.31 | $8.71 | $34.67 |
Security Health Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $131.83 | Professional | None | $28.18 | $28.18 | $131.83 |
Security Health Setting Professional Modifier None Typical Low $38.02 Median $81.28 Typical High $131.83 | Professional | None | $38.02 | $81.28 | $131.83 |
United Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $5.50 Median $10.47 Typical High $50.12 | Professional | None | $5.50 | $10.47 | $50.12 |
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 $7.94 Median $7.94 Typical High $158.49 | Professional | 52 · Reduced service | $7.94 | $7.94 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $64.57 | Professional | 53 · Discontinued | $3.16 | $3.16 | $64.57 |
Where Wisconsin sits
The same service costs 3.4 times more in South Carolina than in New York. 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
$19.05
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.