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 $9.77 Median $9.77 Typical High $11.22 | Facility | None | $9.77 | $9.77 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.77 Typical High $144.54 | Professional | None | $9.55 | $9.77 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $20.89 Typical High $22.39 | Facility | None | $17.38 | $20.89 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $13.49 Typical High $58.88 | Professional | None | $3.98 | $13.49 | $58.88 |
CareSource Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
CareSource Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $23.99 Typical High $31.62 | Facility | None | $20.89 | $23.99 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $14.13 Typical High $25.12 | Professional | None | $5.37 | $14.13 | $25.12 |
DeanCare Setting Facility Modifier None Typical Low $7.24 Median $39.81 Typical High $63.10 | Facility | None | $7.24 | $39.81 | $63.10 |
Medica Setting Facility Modifier None Typical Low $6.46 Median $9.77 Typical High $100.00 | Facility | None | $6.46 | $9.77 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.79 Median $8.13 Typical High $26.30 | Professional | None | $4.79 | $8.13 | $26.30 |
Network Health Setting Facility Modifier None Typical Low $9.77 Median $12.59 Typical High $22.91 | Facility | None | $9.77 | $12.59 | $22.91 |
Network Health Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $22.91 | Professional | None | $6.03 | $8.32 | $22.91 |
Prevea360 Setting Facility Modifier None Typical Low $6.46 Median $7.24 Typical High $10.23 | Facility | None | $6.46 | $7.24 | $10.23 |
Quartz Setting Professional Modifier None Typical Low $8.91 Median $19.05 Typical High $33.88 | Professional | None | $8.91 | $19.05 | $33.88 |
Quartz Setting Professional Modifier None Typical Low $3.89 Median $5.37 Typical High $20.89 | Professional | None | $3.89 | $5.37 | $20.89 |
Security Health Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $39.81 | Professional | None | $17.38 | $17.38 | $39.81 |
Security Health Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $56.23 | Professional | None | $39.81 | $43.65 | $56.23 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $60.26 | Facility | None | $9.77 | $9.77 | $60.26 |
United Setting Professional Modifier None Typical Low $4.07 Median $6.92 Typical High $30.90 | Professional | None | $4.07 | $6.92 | $30.90 |
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 $4.79 Median $4.79 Typical High $72.44 | Professional | 52 · Reduced service | $4.79 | $4.79 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $28.84 | Professional | 53 · Discontinued | $1.95 | $1.95 | $28.84 |
Where Wisconsin sits
The same service costs 5.6 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· 10th of 51
$11.75
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.