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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $416.87 | Professional | None | $18.62 | $18.62 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $39.81 Typical High $42.66 | Facility | None | $33.11 | $39.81 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $25.70 Typical High $75.86 | Professional | None | $7.59 | $25.70 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $45.71 Typical High $58.88 | Facility | None | $38.90 | $45.71 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $26.92 Typical High $47.86 | Professional | None | $10.23 | $26.92 | $47.86 |
DeanCare Setting Facility Modifier None Typical Low $13.80 Median $48.98 Typical High $77.62 | Facility | None | $13.80 | $48.98 | $77.62 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $15.49 Typical High $112.20 | Facility | None | $12.30 | $15.49 | $112.20 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $15.49 Typical High $50.12 | Professional | None | $8.13 | $15.49 | $50.12 |
Network Health Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $28.18 | Facility | None | $15.49 | $15.49 | $28.18 |
Network Health Setting Professional Modifier None Typical Low $11.48 Median $15.85 Typical High $43.65 | Professional | None | $11.48 | $15.85 | $43.65 |
Prevea360 Setting Facility Modifier None Typical Low $12.30 Median $13.80 Typical High $19.50 | Facility | None | $12.30 | $13.80 | $19.50 |
Quartz Setting Professional Modifier None Typical Low $16.98 Median $36.31 Typical High $64.57 | Professional | None | $16.98 | $36.31 | $64.57 |
Quartz Setting Professional Modifier None Typical Low $7.41 Median $10.23 Typical High $39.81 | Professional | None | $7.41 | $10.23 | $39.81 |
Security Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $34.67 | Professional | None | $33.11 | $33.11 | $34.67 |
Security Health Setting Professional Modifier None Typical Low $34.67 Median $51.29 Typical High $107.15 | Professional | None | $34.67 | $51.29 | $107.15 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $75.86 | Facility | None | $18.62 | $18.62 | $75.86 |
United Setting Professional Modifier None Typical Low $6.92 Median $12.30 Typical High $58.88 | Professional | None | $6.92 | $12.30 | $58.88 |
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 $9.33 Median $9.33 Typical High $208.93 | Professional | 52 · Reduced service | $9.33 | $9.33 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $83.18 | Professional | 53 · Discontinued | $3.72 | $3.72 | $83.18 |
Where Wisconsin sits
The same service costs 4.5 times more in Kansas than in Alabama. 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
$22.39
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.