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 $13.80 Median $13.80 Typical High $15.85 | Facility | None | $13.80 | $13.80 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.80 Typical High $223.87 | Professional | None | $13.49 | $13.80 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $29.51 Typical High $31.62 | Facility | None | $24.55 | $29.51 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $19.05 Typical High $50.12 | Professional | None | $5.62 | $19.05 | $50.12 |
CareSource Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $33.88 Typical High $44.67 | Facility | None | $28.84 | $33.88 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $19.95 Typical High $35.48 | Professional | None | $7.59 | $19.95 | $35.48 |
DeanCare Setting Facility Modifier None Typical Low $10.23 Median $28.84 Typical High $44.67 | Facility | None | $10.23 | $28.84 | $44.67 |
Medica Setting Facility Modifier None Typical Low $9.12 Median $11.48 Typical High $69.18 | Facility | None | $9.12 | $11.48 | $69.18 |
Medica Setting Professional Modifier None Typical Low $4.90 Median $11.48 Typical High $37.15 | Professional | None | $4.90 | $11.48 | $37.15 |
Network Health Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $17.78 | Facility | None | $8.91 | $8.91 | $17.78 |
Network Health Setting Professional Modifier None Typical Low $8.51 Median $11.48 Typical High $32.36 | Professional | None | $8.51 | $11.48 | $32.36 |
Prevea360 Setting Facility Modifier None Typical Low $9.12 Median $10.23 Typical High $14.79 | Facility | None | $9.12 | $10.23 | $14.79 |
Quartz Setting Professional Modifier None Typical Low $12.59 Median $26.92 Typical High $38.90 | Professional | None | $12.59 | $26.92 | $38.90 |
Quartz Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $29.51 | Professional | None | $5.37 | $7.59 | $29.51 |
Security Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $24.55 | Professional | None | $19.05 | $19.05 | $24.55 |
Security Health Setting Professional Modifier None Typical Low $19.05 Median $34.67 Typical High $79.43 | Professional | None | $19.05 | $34.67 | $79.43 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $4.79 Median $8.13 Typical High $43.65 | Professional | None | $4.79 | $8.13 | $43.65 |
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 $6.92 Median $6.92 Typical High $112.20 | Professional | 52 · Reduced service | $6.92 | $6.92 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $44.67 | Professional | 53 · Discontinued | $2.75 | $2.75 | $44.67 |
Where Wisconsin sits
The same service costs 3.2 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· 9th of 51
$16.60
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.