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 $16.60 Median $16.60 Typical High $19.05 | Facility | None | $16.60 | $16.60 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.60 Typical High $102.33 | Professional | None | $16.22 | $16.60 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $35.48 Typical High $38.02 | Facility | None | $29.51 | $35.48 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $22.91 Typical High $100.00 | Professional | None | $6.76 | $22.91 | $100.00 |
CareSource Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
CareSource Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $39.81 Typical High $52.48 | Facility | None | $33.88 | $39.81 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $35.48 Typical High $69.18 | Professional | None | $8.91 | $35.48 | $69.18 |
DeanCare Setting Facility Modifier None Typical Low $12.30 Median $67.61 Typical High $104.71 | Facility | None | $12.30 | $67.61 | $104.71 |
Medica Setting Facility Modifier None Typical Low $11.22 Median $16.60 Typical High $109.65 | Facility | None | $11.22 | $16.60 | $109.65 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $13.80 Typical High $44.67 | Professional | None | $8.13 | $13.80 | $44.67 |
Network Health Setting Facility Modifier None Typical Low $16.60 Median $21.38 Typical High $38.90 | Facility | None | $16.60 | $21.38 | $38.90 |
Network Health Setting Professional Modifier None Typical Low $10.23 Median $14.13 Typical High $38.90 | Professional | None | $10.23 | $14.13 | $38.90 |
Prevea360 Setting Facility Modifier None Typical Low $10.96 Median $12.30 Typical High $17.38 | Facility | None | $10.96 | $12.30 | $17.38 |
Quartz Setting Professional Modifier None Typical Low $15.14 Median $32.36 Typical High $57.54 | Professional | None | $15.14 | $32.36 | $57.54 |
Quartz Setting Professional Modifier None Typical Low $6.46 Median $8.91 Typical High $100.00 | Professional | None | $6.46 | $8.91 | $100.00 |
Security Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $29.51 | Professional | None | $19.05 | $19.05 | $29.51 |
Security Health Setting Professional Modifier None Typical Low $19.05 Median $74.13 Typical High $95.50 | Professional | None | $19.05 | $74.13 | $95.50 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $6.92 Median $11.48 Typical High $52.48 | Professional | None | $6.92 | $11.48 | $52.48 |
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 $8.32 Median $8.32 Typical High $51.29 | Professional | 52 · Reduced service | $8.32 | $8.32 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $20.42 | Professional | 53 · Discontinued | $3.31 | $3.31 | $20.42 |
Where Wisconsin sits
The same service costs 3.0 times more in Alaska 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
$19.95
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.