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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $676.08 | Professional | None | $79.43 | $79.43 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $194.98 Typical High $426.58 | Professional | None | $41.69 | $194.98 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $208.93 Typical High $281.84 | Facility | None | $181.97 | $208.93 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $125.89 Typical High $316.23 | Professional | None | $33.11 | $125.89 | $316.23 |
DeanCare Setting Facility Modifier None Typical Low $44.67 Median $69.18 Typical High $114.82 | Facility | None | $44.67 | $69.18 | $114.82 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $79.43 Typical High $426.58 | Facility | None | $44.67 | $79.43 | $426.58 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $69.18 Typical High $269.15 | Professional | None | $39.81 | $69.18 | $269.15 |
Network Health Setting Facility Modifier None Typical Low $169.82 Median $190.55 Typical High $190.55 | Facility | None | $169.82 | $190.55 | $190.55 |
Network Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Prevea360 Setting Facility Modifier None Typical Low $44.67 Median $69.18 Typical High $114.82 | Facility | None | $44.67 | $69.18 | $114.82 |
Quartz Setting Professional Modifier None Typical Low $79.43 Median $165.96 Typical High $316.23 | Professional | None | $79.43 | $165.96 | $316.23 |
Quartz Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $239.88 | Professional | None | $33.11 | $33.11 | $239.88 |
Security Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Security Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
United Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $309.03 | Professional | None | $39.81 | $66.07 | $309.03 |
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 $39.81 Median $39.81 Typical High $338.84 | Professional | 52 · Reduced service | $39.81 | $39.81 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $134.90 | Professional | 53 · Discontinued | $15.85 | $15.85 | $134.90 |
Where Wisconsin sits
The same service costs 10.2 times more in Alaska than in Hawaii. 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
$123
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.