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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $309.03 | Professional | None | $17.38 | $17.38 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $37.15 Typical High $39.81 | Facility | None | $30.90 | $37.15 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $23.99 Typical High $56.23 | Professional | None | $7.08 | $23.99 | $56.23 |
CareSource Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $43.65 Typical High $56.23 | Facility | None | $37.15 | $43.65 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $25.12 Typical High $44.67 | Professional | None | $9.55 | $25.12 | $44.67 |
DeanCare Setting Facility Modifier None Typical Low $12.88 Median $28.84 Typical High $44.67 | Facility | None | $12.88 | $28.84 | $44.67 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $14.45 Typical High $70.79 | Facility | None | $11.48 | $14.45 | $70.79 |
Medica Setting Professional Modifier None Typical Low $4.90 Median $13.18 Typical High $46.77 | Professional | None | $4.90 | $13.18 | $46.77 |
Network Health Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $22.39 | Facility | None | $8.91 | $8.91 | $22.39 |
Network Health Setting Professional Modifier None Typical Low $10.72 Median $14.45 Typical High $40.74 | Professional | None | $10.72 | $14.45 | $40.74 |
Prevea360 Setting Facility Modifier None Typical Low $11.48 Median $12.88 Typical High $18.62 | Facility | None | $11.48 | $12.88 | $18.62 |
Quartz Setting Professional Modifier None Typical Low $15.85 Median $33.88 Typical High $60.26 | Professional | None | $15.85 | $33.88 | $60.26 |
Quartz Setting Professional Modifier None Typical Low $6.92 Median $9.55 Typical High $37.15 | Professional | None | $6.92 | $9.55 | $37.15 |
Security Health Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $30.90 | Professional | None | $6.03 | $6.03 | $30.90 |
Security Health Setting Professional Modifier None Typical Low $6.03 Median $29.51 Typical High $100.00 | Professional | None | $6.03 | $29.51 | $100.00 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $6.03 Median $11.48 Typical High $54.95 | Professional | None | $6.03 | $11.48 | $54.95 |
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 $8.71 Median $8.71 Typical High $154.88 | Professional | 52 · Reduced service | $8.71 | $8.71 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $61.66 | Professional | 53 · Discontinued | $3.47 | $3.47 | $61.66 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska 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· 10th of 51
$19.50
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.