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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $1,096.48 | Professional | None | $229.09 | $229.09 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $489.78 Typical High $524.81 | Facility | None | $407.38 | $489.78 | $524.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $263.03 Typical High $741.31 | Professional | None | $75.86 | $263.03 | $741.31 |
CareSource Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $549.54 Typical High $724.44 | Facility | None | $478.63 | $549.54 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $281.84 Typical High $588.84 | Professional | None | $91.20 | $281.84 | $588.84 |
DeanCare Setting Facility Modifier None Typical Low $95.50 Median $288.40 Typical High $407.38 | Facility | None | $95.50 | $288.40 | $407.38 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $177.83 Typical High $891.25 | Facility | None | $95.50 | $177.83 | $891.25 |
Medica Setting Professional Modifier None Typical Low $42.66 Median $117.49 Typical High $524.81 | Professional | None | $42.66 | $117.49 | $524.81 |
Network Health Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $295.12 | Facility | None | $81.28 | $81.28 | $295.12 |
Network Health Setting Professional Modifier None Typical Low $100.00 Median $190.55 Typical High $537.03 | Professional | None | $100.00 | $190.55 | $537.03 |
Prevea360 Setting Facility Modifier None Typical Low $95.50 Median $154.88 Typical High $239.88 | Facility | None | $95.50 | $154.88 | $239.88 |
Quartz Setting Professional Modifier None Typical Low $208.93 Median $436.52 Typical High $616.60 | Professional | None | $208.93 | $436.52 | $616.60 |
Quartz Setting Professional Modifier None Typical Low $34.67 Median $91.20 Typical High $489.78 | Professional | None | $34.67 | $91.20 | $489.78 |
Security Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $407.38 | Professional | None | $53.70 | $53.70 | $407.38 |
Security Health Setting Professional Modifier None Typical Low $53.70 Median $263.03 Typical High $1,318.26 | Professional | None | $53.70 | $263.03 | $1,318.26 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $588.84 | Professional | None | $72.44 | $114.82 | $588.84 |
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 $114.82 Median $114.82 Typical High $549.54 | Professional | 52 · Reduced service | $114.82 | $114.82 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $218.78 | Professional | 53 · Discontinued | $45.71 | $45.71 | $218.78 |
Where Wisconsin sits
The same service costs 11.2 times more in Alaska than in Alabama. 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· 5th of 51
$234
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.