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 $4.57 Median $4.57 Typical High $5.25 | Facility | None | $4.57 | $4.57 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.57 Typical High $141.25 | Professional | None | $4.47 | $4.57 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.32 Median $10.00 Typical High $10.47 | Facility | None | $8.32 | $10.00 | $10.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.91 Median $6.46 Typical High $27.54 | Professional | None | $1.91 | $6.46 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Facility | None | $2.63 | $2.63 | $2.63 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $11.48 Typical High $15.14 | Facility | None | $10.00 | $11.48 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $6.76 Typical High $12.02 | Professional | None | $2.45 | $6.76 | $12.02 |
DeanCare Setting Facility Modifier None Typical Low $3.39 Median $19.05 Typical High $29.51 | Facility | None | $3.39 | $19.05 | $29.51 |
Medica Setting Facility Modifier None Typical Low $3.09 Median $3.89 Typical High $85.11 | Facility | None | $3.09 | $3.89 | $85.11 |
Medica Setting Professional Modifier None Typical Low $2.29 Median $3.80 Typical High $12.59 | Professional | None | $2.29 | $3.80 | $12.59 |
Network Health Setting Facility Modifier None Typical Low $4.57 Median $5.89 Typical High $10.96 | Facility | None | $4.57 | $5.89 | $10.96 |
Network Health Setting Professional Modifier None Typical Low $2.88 Median $3.89 Typical High $10.96 | Professional | None | $2.88 | $3.89 | $10.96 |
Prevea360 Setting Facility Modifier None Typical Low $3.09 Median $3.47 Typical High $4.90 | Facility | None | $3.09 | $3.47 | $4.90 |
Quartz Setting Professional Modifier None Typical Low $4.07 Median $8.71 Typical High $16.22 | Professional | None | $4.07 | $8.71 | $16.22 |
Quartz Setting Professional Modifier None Typical Low $1.86 Median $2.45 Typical High $10.00 | Professional | None | $1.86 | $2.45 | $10.00 |
Security Health Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $17.38 | Professional | None | $8.13 | $8.13 | $17.38 |
Security Health Setting Professional Modifier None Typical Low $16.60 Median $17.38 Typical High $26.92 | Professional | None | $16.60 | $17.38 | $26.92 |
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 $1.91 Median $3.31 Typical High $14.45 | Professional | None | $1.91 | $3.31 | $14.45 |
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 $2.29 Median $2.29 Typical High $70.79 | Professional | 52 · Reduced service | $2.29 | $2.29 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.91 Median $0.91 Typical High $28.18 | Professional | 53 · Discontinued | $0.91 | $0.91 | $28.18 |
Where Wisconsin sits
The same service costs 4.2 times more in Kansas 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· 8th of 51
$5.89
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.