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 $14.13 Median $14.13 Typical High $18.20 | Facility | None | $14.13 | $14.13 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $14.13 Typical High $323.59 | Professional | None | $13.80 | $14.13 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $30.90 Typical High $32.36 | Facility | None | $25.12 | $30.90 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $19.50 Typical High $85.11 | Professional | None | $5.75 | $19.50 | $85.11 |
CareSource Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
CareSource Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
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 $7.76 Median $19.95 Typical High $37.15 | Professional | None | $7.76 | $19.95 | $37.15 |
DeanCare Setting Facility Modifier None Typical Low $10.47 Median $58.88 Typical High $91.20 | Facility | None | $10.47 | $58.88 | $91.20 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $11.75 Typical High $60.26 | Facility | None | $9.33 | $11.75 | $60.26 |
Medica Setting Professional Modifier None Typical Low $7.08 Median $11.75 Typical High $38.90 | Professional | None | $7.08 | $11.75 | $38.90 |
Network Health Setting Facility Modifier None Typical Low $14.13 Median $18.20 Typical High $33.88 | Facility | None | $14.13 | $18.20 | $33.88 |
Network Health Setting Professional Modifier None Typical Low $8.91 Median $12.02 Typical High $33.11 | Professional | None | $8.91 | $12.02 | $33.11 |
Prevea360 Setting Facility Modifier None Typical Low $9.33 Median $10.47 Typical High $15.14 | Facility | None | $9.33 | $10.47 | $15.14 |
Quartz Setting Professional Modifier None Typical Low $12.88 Median $27.54 Typical High $48.98 | Professional | None | $12.88 | $27.54 | $48.98 |
Quartz Setting Professional Modifier None Typical Low $5.62 Median $7.76 Typical High $30.90 | Professional | None | $5.62 | $7.76 | $30.90 |
Security Health Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $48.98 | Professional | None | $25.12 | $25.12 | $48.98 |
Security Health Setting Professional Modifier None Typical Low $48.98 Median $64.57 Typical High $83.18 | Professional | None | $48.98 | $64.57 | $83.18 |
United Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier None Typical Low $5.89 Median $10.00 Typical High $44.67 | Professional | None | $5.89 | $10.00 | $44.67 |
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 $7.08 Median $7.08 Typical High $162.18 | Professional | 52 · Reduced service | $7.08 | $7.08 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $64.57 | Professional | 53 · Discontinued | $2.82 | $2.82 | $64.57 |
Where Wisconsin sits
The same service costs 4.5 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· 10th of 51
$17.78
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.