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 $11.22 Median $11.22 Typical High $12.88 | Facility | None | $11.22 | $11.22 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $169.82 | Professional | None | $11.22 | $11.22 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $24.55 Typical High $25.70 | Facility | None | $20.42 | $24.55 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $15.85 Typical High $69.18 | Professional | None | $4.68 | $15.85 | $69.18 |
CareSource Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
CareSource Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $27.54 Typical High $36.31 | Facility | None | $23.44 | $27.54 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $16.22 Typical High $29.51 | Professional | None | $6.17 | $16.22 | $29.51 |
DeanCare Setting Facility Modifier None Typical Low $8.32 Median $46.77 Typical High $72.44 | Facility | None | $8.32 | $46.77 | $72.44 |
Medica Setting Facility Modifier None Typical Low $7.41 Median $9.33 Typical High $60.26 | Facility | None | $7.41 | $9.33 | $60.26 |
Medica Setting Professional Modifier None Typical Low $5.62 Median $9.33 Typical High $30.90 | Professional | None | $5.62 | $9.33 | $30.90 |
Network Health Setting Facility Modifier None Typical Low $11.22 Median $14.45 Typical High $26.92 | Facility | None | $11.22 | $14.45 | $26.92 |
Network Health Setting Professional Modifier None Typical Low $7.08 Median $9.55 Typical High $26.92 | Professional | None | $7.08 | $9.55 | $26.92 |
Prevea360 Setting Facility Modifier None Typical Low $7.59 Median $8.51 Typical High $12.02 | Facility | None | $7.59 | $8.51 | $12.02 |
Quartz Setting Professional Modifier None Typical Low $10.47 Median $21.88 Typical High $36.31 | Professional | None | $10.47 | $21.88 | $36.31 |
Quartz Setting Professional Modifier None Typical Low $4.47 Median $6.17 Typical High $24.55 | Professional | None | $4.47 | $6.17 | $24.55 |
Security Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | None | $19.95 | $19.95 | $23.44 |
Security Health Setting Professional Modifier None Typical Low $23.44 Median $51.29 Typical High $66.07 | Professional | None | $23.44 | $51.29 | $66.07 |
United Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
United Setting Professional Modifier None Typical Low $4.68 Median $7.94 Typical High $36.31 | Professional | None | $4.68 | $7.94 | $36.31 |
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 $5.62 Median $5.62 Typical High $85.11 | Professional | 52 · Reduced service | $5.62 | $5.62 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $33.88 | Professional | 53 · Discontinued | $2.29 | $2.29 | $33.88 |
Where Wisconsin sits
The same service costs 5.0 times more in Alaska than in Georgia. 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· 6th of 51
$13.80
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.