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 $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $309.03 | Professional | None | $18.20 | $18.20 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $41.69 | Facility | None | $32.36 | $38.90 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $25.12 Typical High $109.65 | Professional | None | $7.41 | $25.12 | $109.65 |
CareSource Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
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 $10.00 Median $25.12 Typical High $46.77 | Professional | None | $10.00 | $25.12 | $46.77 |
DeanCare Setting Facility Modifier None Typical Low $13.49 Median $74.13 Typical High $117.49 | Facility | None | $13.49 | $74.13 | $117.49 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $18.20 Typical High $141.25 | Facility | None | $12.02 | $18.20 | $141.25 |
Medica Setting Professional Modifier None Typical Low $8.91 Median $15.14 Typical High $48.98 | Professional | None | $8.91 | $15.14 | $48.98 |
Network Health Setting Facility Modifier None Typical Low $18.20 Median $23.44 Typical High $42.66 | Facility | None | $18.20 | $23.44 | $42.66 |
Network Health Setting Professional Modifier None Typical Low $11.22 Median $15.49 Typical High $42.66 | Professional | None | $11.22 | $15.49 | $42.66 |
Prevea360 Setting Facility Modifier None Typical Low $12.02 Median $13.49 Typical High $19.05 | Facility | None | $12.02 | $13.49 | $19.05 |
Quartz Setting Professional Modifier None Typical Low $16.60 Median $35.48 Typical High $63.10 | Professional | None | $16.60 | $35.48 | $63.10 |
Quartz Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $38.90 | Professional | None | $7.08 | $10.00 | $38.90 |
Security Health Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $72.44 | Professional | None | $32.36 | $32.36 | $72.44 |
Security Health Setting Professional Modifier None Typical Low $45.71 Median $81.28 Typical High $104.71 | Professional | None | $45.71 | $81.28 | $104.71 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $7.59 Median $12.59 Typical High $57.54 | Professional | None | $7.59 | $12.59 | $57.54 |
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 $9.12 Median $9.12 Typical High $154.88 | Professional | 52 · Reduced service | $9.12 | $9.12 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $63.10 | Professional | 53 · Discontinued | $3.63 | $3.63 | $63.10 |
Where Wisconsin sits
The same service costs 4.3 times more in Kansas 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
$22.39
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.