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 $14.79 Median $14.79 Typical High $16.98 | Facility | None | $14.79 | $14.79 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $234.42 | Professional | None | $14.79 | $14.79 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $33.88 | Facility | None | $26.92 | $32.36 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $20.89 Typical High $53.70 | Professional | None | $6.17 | $20.89 | $53.70 |
CareSource Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
CareSource Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $35.48 Typical High $46.77 | Facility | None | $30.90 | $35.48 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $20.89 Typical High $38.90 | Professional | None | $8.13 | $20.89 | $38.90 |
DeanCare Setting Facility Modifier None Typical Low $10.96 Median $28.84 Typical High $44.67 | Facility | None | $10.96 | $28.84 | $44.67 |
Medica Setting Facility Modifier None Typical Low $10.23 Median $14.79 Typical High $141.25 | Facility | None | $10.23 | $14.79 | $141.25 |
Medica Setting Professional Modifier None Typical Low $4.90 Median $12.30 Typical High $40.74 | Professional | None | $4.90 | $12.30 | $40.74 |
Network Health Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $19.05 | Facility | None | $8.91 | $8.91 | $19.05 |
Network Health Setting Professional Modifier None Typical Low $9.33 Median $12.30 Typical High $34.67 | Professional | None | $9.33 | $12.30 | $34.67 |
Prevea360 Setting Facility Modifier None Typical Low $10.00 Median $11.22 Typical High $15.85 | Facility | None | $10.00 | $11.22 | $15.85 |
Quartz Setting Professional Modifier None Typical Low $13.80 Median $29.51 Typical High $52.48 | Professional | None | $13.80 | $29.51 | $52.48 |
Quartz Setting Professional Modifier None Typical Low $5.89 Median $8.13 Typical High $32.36 | Professional | None | $5.89 | $8.13 | $32.36 |
Security Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $100.00 | Professional | None | $26.30 | $26.30 | $100.00 |
Security Health Setting Professional Modifier None Typical Low $38.90 Median $83.18 Typical High $100.00 | Professional | None | $38.90 | $83.18 | $100.00 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $5.25 Median $10.00 Typical High $46.77 | Professional | None | $5.25 | $10.00 | $46.77 |
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 $7.41 Median $7.41 Typical High $117.49 | Professional | 52 · Reduced service | $7.41 | $7.41 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $46.77 | Professional | 53 · Discontinued | $2.95 | $2.95 | $46.77 |
Where Wisconsin sits
The same service costs 8.5 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· 9th of 51
$18.20
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.