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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $616.60 | Professional | None | $30.20 | $30.20 | $616.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $74.13 Typical High $162.18 | Professional | None | $15.85 | $74.13 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $77.62 Typical High $107.15 | Facility | None | $69.18 | $77.62 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $39.81 Typical High $120.23 | Professional | None | $12.59 | $39.81 | $120.23 |
DeanCare Setting Facility Modifier None Typical Low $16.98 Median $26.30 Typical High $43.65 | Facility | None | $16.98 | $26.30 | $43.65 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $35.48 Typical High $263.03 | Facility | None | $16.98 | $35.48 | $263.03 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $26.30 Typical High $102.33 | Professional | None | $14.45 | $26.30 | $102.33 |
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 $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Prevea360 Setting Facility Modifier None Typical Low $16.98 Median $26.30 Typical High $43.65 | Facility | None | $16.98 | $26.30 | $43.65 |
Quartz Setting Professional Modifier None Typical Low $29.51 Median $61.66 Typical High $120.23 | Professional | None | $29.51 | $61.66 | $120.23 |
Quartz Setting Professional Modifier None Typical Low $12.30 Median $12.59 Typical High $91.20 | Professional | None | $12.30 | $12.59 | $91.20 |
Security Health Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $125.89 | Professional | None | $45.71 | $45.71 | $125.89 |
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 $14.79 Median $24.55 Typical High $117.49 | Professional | None | $14.79 | $24.55 | $117.49 |
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 $15.14 Median $15.14 Typical High $309.03 | Professional | 52 · Reduced service | $15.14 | $15.14 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $123.03 | Professional | 53 · Discontinued | $6.03 | $6.03 | $123.03 |
Where Wisconsin sits
The same service costs 8.5 times more in Alaska 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· 9th of 51
$43.65
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.