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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $549.54 | Professional | None | $128.82 | $128.82 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $275.42 Typical High $295.12 | Facility | None | $229.09 | $275.42 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $177.83 Typical High $512.86 | Professional | None | $42.66 | $177.83 | $512.86 |
CareSource Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $309.03 Typical High $407.38 | Facility | None | $263.03 | $309.03 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $181.97 Typical High $331.13 | Professional | None | $51.29 | $181.97 | $331.13 |
DeanCare Setting Facility Modifier None Typical Low $57.54 Median $316.23 Typical High $501.19 | Facility | None | $57.54 | $316.23 | $501.19 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $100.00 Typical High $501.19 | Facility | None | $57.54 | $100.00 | $501.19 |
Medica Setting Professional Modifier None Typical Low $53.70 Median $89.13 Typical High $295.12 | Professional | None | $53.70 | $89.13 | $295.12 |
Network Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $186.21 | Facility | None | $100.00 | $100.00 | $186.21 |
Network Health Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $302.00 | Professional | None | $79.43 | $107.15 | $302.00 |
Prevea360 Setting Facility Modifier None Typical Low $57.54 Median $87.10 Typical High $134.90 | Facility | None | $57.54 | $87.10 | $134.90 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $245.47 Typical High $354.81 | Professional | None | $117.49 | $245.47 | $354.81 |
Quartz Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $275.42 | Professional | None | $42.66 | $51.29 | $275.42 |
Security Health Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $223.87 | Professional | None | $66.07 | $66.07 | $223.87 |
Security Health Setting Professional Modifier None Typical Low $66.07 Median $309.03 Typical High $741.31 | Professional | None | $66.07 | $309.03 | $741.31 |
United Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $52.48 Median $85.11 Typical High $323.59 | Professional | None | $52.48 | $85.11 | $323.59 |
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 $63.10 Median $63.10 Typical High $275.42 | Professional | 52 · Reduced service | $63.10 | $63.10 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $112.20 | Professional | 53 · Discontinued | $25.70 | $25.70 | $112.20 |
Where Wisconsin sits
The same service costs 6.2 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
$145
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.