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 $15.49 Median $15.49 Typical High $21.88 | Facility | None | $15.49 | $15.49 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $288.40 | Professional | None | $15.49 | $15.49 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $33.88 Typical High $35.48 | Facility | None | $28.18 | $33.88 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $21.88 Typical High $95.50 | Professional | None | $6.46 | $21.88 | $95.50 |
CareSource Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
CareSource Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $38.02 Typical High $50.12 | Facility | None | $32.36 | $38.02 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $22.39 Typical High $40.74 | Professional | None | $8.71 | $22.39 | $40.74 |
DeanCare Setting Facility Modifier None Typical Low $11.75 Median $64.57 Typical High $100.00 | Facility | None | $11.75 | $64.57 | $100.00 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $15.49 Typical High $107.15 | Facility | None | $10.72 | $15.49 | $107.15 |
Medica Setting Professional Modifier None Typical Low $7.59 Median $13.18 Typical High $42.66 | Professional | None | $7.59 | $13.18 | $42.66 |
Network Health Setting Facility Modifier None Typical Low $15.49 Median $19.95 Typical High $37.15 | Facility | None | $15.49 | $19.95 | $37.15 |
Network Health Setting Professional Modifier None Typical Low $9.77 Median $13.18 Typical High $37.15 | Professional | None | $9.77 | $13.18 | $37.15 |
Prevea360 Setting Facility Modifier None Typical Low $10.47 Median $11.75 Typical High $16.60 | Facility | None | $10.47 | $11.75 | $16.60 |
Quartz Setting Professional Modifier None Typical Low $14.45 Median $30.90 Typical High $54.95 | Professional | None | $14.45 | $30.90 | $54.95 |
Quartz Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $33.88 | Professional | None | $6.17 | $8.71 | $33.88 |
Security Health Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $67.61 | Professional | None | $27.54 | $27.54 | $67.61 |
Security Health Setting Professional Modifier None Typical Low $47.86 Median $67.61 Typical High $91.20 | Professional | None | $47.86 | $67.61 | $91.20 |
United Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
United Setting Professional Modifier None Typical Low $6.46 Median $10.96 Typical High $50.12 | Professional | None | $6.46 | $10.96 | $50.12 |
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 $7.76 Median $7.76 Typical High $144.54 | Professional | 52 · Reduced service | $7.76 | $7.76 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $57.54 | Professional | 53 · Discontinued | $3.16 | $3.16 | $57.54 |
Where Wisconsin sits
The same service costs 10.2 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
$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.