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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $295.12 | Professional | None | $23.44 | $23.44 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $50.12 Typical High $53.70 | Facility | None | $41.69 | $50.12 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $32.36 Typical High $141.25 | Professional | None | $9.55 | $32.36 | $141.25 |
CareSource Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
CareSource Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $56.23 Typical High $74.13 | Facility | None | $48.98 | $56.23 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $33.11 Typical High $60.26 | Professional | None | $12.88 | $33.11 | $60.26 |
DeanCare Setting Facility Modifier None Typical Low $17.38 Median $95.50 Typical High $147.91 | Facility | None | $17.38 | $95.50 | $147.91 |
Medica Setting Facility Modifier None Typical Low $15.49 Median $19.50 Typical High $100.00 | Facility | None | $15.49 | $19.50 | $100.00 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $19.50 Typical High $63.10 | Professional | None | $11.48 | $19.50 | $63.10 |
Network Health Setting Facility Modifier None Typical Low $23.44 Median $30.20 Typical High $54.95 | Facility | None | $23.44 | $30.20 | $54.95 |
Network Health Setting Professional Modifier None Typical Low $14.45 Median $19.95 Typical High $54.95 | Professional | None | $14.45 | $19.95 | $54.95 |
Prevea360 Setting Facility Modifier None Typical Low $15.49 Median $17.38 Typical High $24.55 | Facility | None | $15.49 | $17.38 | $24.55 |
Quartz Setting Professional Modifier None Typical Low $21.38 Median $45.71 Typical High $64.57 | Professional | None | $21.38 | $45.71 | $64.57 |
Quartz Setting Professional Modifier None Typical Low $9.33 Median $12.88 Typical High $50.12 | Professional | None | $9.33 | $12.88 | $50.12 |
Security Health Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $85.11 | Professional | None | $41.69 | $41.69 | $85.11 |
Security Health Setting Professional Modifier None Typical Low $83.18 Median $85.11 Typical High $134.90 | Professional | None | $83.18 | $85.11 | $134.90 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $9.77 Median $16.22 Typical High $74.13 | Professional | None | $9.77 | $16.22 | $74.13 |
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 $11.48 Median $11.48 Typical High $147.91 | Professional | 52 · Reduced service | $11.48 | $11.48 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $58.88 | Professional | 53 · Discontinued | $4.68 | $4.68 | $58.88 |
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
$30.20
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.