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 $13.49 Median $13.49 Typical High $17.38 | Facility | None | $13.49 | $13.49 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.49 Typical High $281.84 | Professional | None | $13.18 | $13.49 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $29.51 Typical High $30.90 | Facility | None | $23.99 | $29.51 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $19.05 Typical High $81.28 | Professional | None | $5.62 | $19.05 | $81.28 |
CareSource Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
CareSource Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
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 $7.41 Median $19.95 Typical High $35.48 | Professional | None | $7.41 | $19.95 | $35.48 |
DeanCare Setting Facility Modifier None Typical Low $10.00 Median $56.23 Typical High $87.10 | Facility | None | $10.00 | $56.23 | $87.10 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $13.49 Typical High $123.03 | Facility | None | $9.33 | $13.49 | $123.03 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $11.22 Typical High $37.15 | Professional | None | $6.76 | $11.22 | $37.15 |
Network Health Setting Facility Modifier None Typical Low $13.49 Median $17.38 Typical High $32.36 | Facility | None | $13.49 | $17.38 | $32.36 |
Network Health Setting Professional Modifier None Typical Low $8.51 Median $11.48 Typical High $31.62 | Professional | None | $8.51 | $11.48 | $31.62 |
Prevea360 Setting Facility Modifier None Typical Low $8.91 Median $10.23 Typical High $14.45 | Facility | None | $8.91 | $10.23 | $14.45 |
Quartz Setting Professional Modifier None Typical Low $12.59 Median $26.92 Typical High $46.77 | Professional | None | $12.59 | $26.92 | $46.77 |
Quartz Setting Professional Modifier None Typical Low $5.37 Median $7.41 Typical High $29.51 | Professional | None | $5.37 | $7.41 | $29.51 |
Security Health Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $30.20 | Professional | None | $23.99 | $23.99 | $30.20 |
Security Health Setting Professional Modifier None Typical Low $30.20 Median $54.95 Typical High $79.43 | Professional | None | $30.20 | $54.95 | $79.43 |
United Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $5.62 Median $9.77 Typical High $42.66 | Professional | None | $5.62 | $9.77 | $42.66 |
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 $6.76 Median $6.76 Typical High $141.25 | Professional | 52 · Reduced service | $6.76 | $6.76 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $56.23 | Professional | 53 · Discontinued | $2.69 | $2.69 | $56.23 |
Where Wisconsin sits
The same service costs 11.7 times more in Vermont 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· 7th of 51
$16.98
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.