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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $1,047.13 | Professional | None | $97.72 | $97.72 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $213.80 Typical High $223.87 | Facility | None | $177.83 | $213.80 | $223.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $138.04 Typical High $501.19 | Professional | None | $33.88 | $138.04 | $501.19 |
CareSource Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $239.88 Typical High $316.23 | Facility | None | $204.17 | $239.88 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $141.25 Typical High $257.04 | Professional | None | $45.71 | $141.25 | $257.04 |
DeanCare Setting Facility Modifier None Typical Low $40.74 Median $346.74 Typical High $537.03 | Facility | None | $40.74 | $346.74 | $537.03 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $77.62 Typical High $389.05 | Facility | None | $40.74 | $77.62 | $389.05 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $81.28 Typical High $229.09 | Professional | None | $47.86 | $81.28 | $229.09 |
Network Health Setting Facility Modifier None Typical Low $97.72 Median $107.15 Typical High $199.53 | Facility | None | $97.72 | $107.15 | $199.53 |
Network Health Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $229.09 | Professional | None | $61.66 | $83.18 | $229.09 |
Prevea360 Setting Facility Modifier None Typical Low $40.74 Median $67.61 Typical High $104.71 | Facility | None | $40.74 | $67.61 | $104.71 |
Quartz Setting Professional Modifier None Typical Low $91.20 Median $190.55 Typical High $269.15 | Professional | None | $91.20 | $190.55 | $269.15 |
Quartz Setting Professional Modifier None Typical Low $38.90 Median $43.65 Typical High $213.80 | Professional | None | $38.90 | $43.65 | $213.80 |
Security Health Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $173.78 | Professional | None | $70.79 | $70.79 | $173.78 |
Security Health Setting Professional Modifier None Typical Low $70.79 Median $275.42 Typical High $575.44 | Professional | None | $70.79 | $275.42 | $575.44 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $40.74 Median $66.07 Typical High $263.03 | Professional | None | $40.74 | $66.07 | $263.03 |
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 $48.98 Median $48.98 Typical High $524.81 | Professional | 52 · Reduced service | $48.98 | $48.98 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $208.93 | Professional | 53 · Discontinued | $19.50 | $19.50 | $208.93 |
Where Wisconsin sits
The same service costs 4.9 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· 7th of 51
$112
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.