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 $34.67 Median $34.67 Typical High $43.65 | Facility | None | $34.67 | $34.67 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $295.12 | Professional | None | $30.90 | $34.67 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $83.18 Typical High $186.21 | Professional | None | $18.20 | $83.18 | $186.21 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
CareSource Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $91.20 Typical High $123.03 | Facility | None | $79.43 | $91.20 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $54.95 Typical High $138.04 | Professional | None | $14.45 | $54.95 | $138.04 |
DeanCare Setting Facility Modifier None Typical Low $20.89 Median $30.20 Typical High $50.12 | Facility | None | $20.89 | $30.20 | $50.12 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $50.12 Typical High $389.05 | Facility | None | $20.89 | $50.12 | $389.05 |
Medica Setting Professional Modifier None Typical Low $17.38 Median $30.20 Typical High $117.49 | Professional | None | $17.38 | $30.20 | $117.49 |
Network Health Setting Facility Modifier None Typical Low $346.74 Median $389.05 Typical High $389.05 | Facility | None | $346.74 | $389.05 | $389.05 |
Network Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Prevea360 Setting Facility Modifier None Typical Low $20.89 Median $30.20 Typical High $50.12 | Facility | None | $20.89 | $30.20 | $50.12 |
Quartz Setting Professional Modifier None Typical Low $34.67 Median $72.44 Typical High $186.21 | Professional | None | $34.67 | $72.44 | $186.21 |
Quartz Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $104.71 | Professional | None | $14.45 | $14.45 | $104.71 |
Security Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Security Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $144.54 | Professional | None | $25.70 | $25.70 | $144.54 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
United Setting Professional Modifier None Typical Low $16.98 Median $30.20 Typical High $134.90 | Professional | None | $16.98 | $30.20 | $134.90 |
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 $17.38 Median $17.38 Typical High $147.91 | Professional | 52 · Reduced service | $17.38 | $17.38 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $58.88 | Professional | 53 · Discontinued | $6.92 | $6.92 | $58.88 |
Where Wisconsin sits
The same service costs 10.0 times more in Texas than in Arizona. 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· 11th of 51
$47.86
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.