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 $3.47 Median $3.63 Typical High $4.57 | Facility | None | $3.47 | $3.63 | $4.57 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.63 Typical High $60.26 | Professional | None | $3.55 | $3.63 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.46 Median $7.76 Typical High $8.13 | Facility | None | $6.46 | $7.76 | $8.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.48 Median $5.01 Typical High $19.95 | Professional | None | $1.48 | $5.01 | $19.95 |
CareSource Setting Facility Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Facility | None | $2.04 | $2.04 | $2.04 |
CareSource Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $8.51 Typical High $10.96 | Facility | None | $7.24 | $8.51 | $10.96 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $6.31 Typical High $9.33 | Professional | None | $1.95 | $6.31 | $9.33 |
DeanCare Setting Facility Modifier None Typical Low $2.63 Median $13.49 Typical High $21.38 | Facility | None | $2.63 | $13.49 | $21.38 |
Medica Setting Facility Modifier None Typical Low $2.82 Median $48.98 Typical High $72.44 | Facility | None | $2.82 | $48.98 | $72.44 |
Medica Setting Professional Modifier None Typical Low $1.78 Median $3.02 Typical High $9.77 | Professional | None | $1.78 | $3.02 | $9.77 |
Network Health Setting Facility Modifier None Typical Low $3.63 Median $4.27 Typical High $7.76 | Facility | None | $3.63 | $4.27 | $7.76 |
Network Health Setting Professional Modifier None Typical Low $2.24 Median $3.02 Typical High $8.51 | Professional | None | $2.24 | $3.02 | $8.51 |
Prevea360 Setting Facility Modifier None Typical Low $2.40 Median $2.69 Typical High $3.80 | Facility | None | $2.40 | $2.69 | $3.80 |
Quartz Setting Professional Modifier None Typical Low $3.63 Median $7.59 Typical High $18.20 | Professional | None | $3.63 | $7.59 | $18.20 |
Quartz Setting Professional Modifier None Typical Low $1.38 Median $1.95 Typical High $7.76 | Professional | None | $1.38 | $1.95 | $7.76 |
Security Health Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.46 | Professional | None | $6.31 | $6.31 | $6.46 |
Security Health Setting Professional Modifier None Typical Low $6.46 Median $16.22 Typical High $22.39 | Professional | None | $6.46 | $16.22 | $22.39 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $1.51 Median $2.57 Typical High $11.48 | Professional | None | $1.51 | $2.57 | $11.48 |
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 $1.82 Median $1.82 Typical High $30.90 | Professional | 52 · Reduced service | $1.82 | $1.82 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.72 Typical High $12.30 | Professional | 53 · Discontinued | $0.72 | $0.72 | $12.30 |
Where Wisconsin sits
The same service costs 28.2 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· 11th of 51
$6.03
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.