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 $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.46 Typical High $114.82 | Professional | None | $6.31 | $6.46 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $14.13 Typical High $14.79 | Facility | None | $11.48 | $14.13 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.63 Median $9.12 Typical High $31.62 | Professional | None | $2.63 | $9.12 | $31.62 |
CareSource Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
CareSource Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | None | $5.37 | $5.37 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $15.85 Typical High $20.89 | Facility | None | $13.49 | $15.85 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $9.33 Typical High $16.98 | Professional | None | $3.63 | $9.33 | $16.98 |
DeanCare Setting Facility Modifier None Typical Low $4.79 Median $21.38 Typical High $33.11 | Facility | None | $4.79 | $21.38 | $33.11 |
Medica Setting Facility Modifier None Typical Low $4.27 Median $6.46 Typical High $93.33 | Facility | None | $4.27 | $6.46 | $93.33 |
Medica Setting Professional Modifier None Typical Low $3.16 Median $5.37 Typical High $17.78 | Professional | None | $3.16 | $5.37 | $17.78 |
Network Health Setting Facility Modifier None Typical Low $6.46 Median $6.61 Typical High $12.30 | Facility | None | $6.46 | $6.61 | $12.30 |
Network Health Setting Professional Modifier None Typical Low $4.07 Median $5.50 Typical High $15.14 | Professional | None | $4.07 | $5.50 | $15.14 |
Prevea360 Setting Facility Modifier None Typical Low $4.27 Median $4.79 Typical High $6.92 | Facility | None | $4.27 | $4.79 | $6.92 |
Quartz Setting Professional Modifier None Typical Low $5.89 Median $12.59 Typical High $22.39 | Professional | None | $5.89 | $12.59 | $22.39 |
Quartz Setting Professional Modifier None Typical Low $2.63 Median $3.63 Typical High $14.13 | Professional | None | $2.63 | $3.63 | $14.13 |
Security Health Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.48 | Professional | None | $11.22 | $11.22 | $11.48 |
Security Health Setting Professional Modifier None Typical Low $11.22 Median $29.51 Typical High $38.02 | Professional | None | $11.22 | $29.51 | $38.02 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $2.69 Median $4.27 Typical High $20.42 | Professional | None | $2.69 | $4.27 | $20.42 |
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 $3.24 Median $3.24 Typical High $57.54 | Professional | 52 · Reduced service | $3.24 | $3.24 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $22.91 | Professional | 53 · Discontinued | $1.29 | $1.29 | $22.91 |
Where Wisconsin sits
The same service costs 11.2 times more in Vermont 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· 12th of 51
$7.76
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.