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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $363.08 | Professional | None | $17.78 | $17.78 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $38.90 Typical High $40.74 | Facility | None | $31.62 | $38.90 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $24.55 Typical High $107.15 | Professional | None | $7.24 | $24.55 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
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 $9.77 Median $25.12 Typical High $45.71 | Professional | None | $9.77 | $25.12 | $45.71 |
DeanCare Setting Facility Modifier None Typical Low $13.18 Median $74.13 Typical High $114.82 | Facility | None | $13.18 | $74.13 | $114.82 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $14.79 Typical High $162.18 | Facility | None | $11.75 | $14.79 | $162.18 |
Medica Setting Professional Modifier None Typical Low $8.71 Median $14.79 Typical High $48.98 | Professional | None | $8.71 | $14.79 | $48.98 |
Network Health Setting Facility Modifier None Typical Low $17.78 Median $22.91 Typical High $42.66 | Facility | None | $17.78 | $22.91 | $42.66 |
Network Health Setting Professional Modifier None Typical Low $11.22 Median $15.14 Typical High $41.69 | Professional | None | $11.22 | $15.14 | $41.69 |
Prevea360 Setting Facility Modifier None Typical Low $11.75 Median $13.18 Typical High $19.05 | Facility | None | $11.75 | $13.18 | $19.05 |
Quartz Setting Professional Modifier None Typical Low $16.22 Median $34.67 Typical High $61.66 | Professional | None | $16.22 | $34.67 | $61.66 |
Quartz Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $38.90 | Professional | None | $7.08 | $9.77 | $38.90 |
Security Health Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $72.44 | Professional | None | $31.62 | $31.62 | $72.44 |
Security Health Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $104.71 | Professional | None | $53.70 | $72.44 | $104.71 |
United Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
United Setting Professional Modifier None Typical Low $7.41 Median $12.59 Typical High $56.23 | Professional | None | $7.41 | $12.59 | $56.23 |
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 $8.91 Median $8.91 Typical High $181.97 | Professional | 52 · Reduced service | $8.91 | $8.91 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $72.44 | Professional | 53 · Discontinued | $3.55 | $3.55 | $72.44 |
Where Wisconsin sits
The same service costs 4.0 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
$22.91
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.