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 $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $64.57 | Professional | None | $9.33 | $9.33 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $19.95 Typical High $21.38 | Facility | None | $16.60 | $19.95 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.09 Median $12.88 Typical High $38.02 | Professional | None | $3.09 | $12.88 | $38.02 |
CareSource Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $22.91 Typical High $30.20 | Facility | None | $19.95 | $22.91 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $19.95 Typical High $23.99 | Professional | None | $3.72 | $19.95 | $23.99 |
DeanCare Setting Facility Modifier None Typical Low $3.89 Median $25.70 Typical High $40.74 | Facility | None | $3.89 | $25.70 | $40.74 |
DeanCare Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $51.29 | Professional | None | $46.77 | $46.77 | $51.29 |
Medica Setting Facility Modifier None Typical Low $3.89 Median $7.24 Typical High $70.79 | Facility | None | $3.89 | $7.24 | $70.79 |
Medica Setting Professional Modifier None Typical Low $4.27 Median $8.91 Typical High $39.81 | Professional | None | $4.27 | $8.91 | $39.81 |
Network Health Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $14.79 | Facility | None | $8.13 | $8.13 | $14.79 |
Network Health Setting Professional Modifier None Typical Low $5.75 Median $9.12 Typical High $18.20 | Professional | None | $5.75 | $9.12 | $18.20 |
Prevea360 Setting Facility Modifier None Typical Low $3.89 Median $6.31 Typical High $10.00 | Facility | None | $3.89 | $6.31 | $10.00 |
Quartz Setting Professional Modifier None Typical Low $8.51 Median $18.20 Typical High $25.12 | Professional | None | $8.51 | $18.20 | $25.12 |
Quartz Setting Professional Modifier None Typical Low $3.47 Median $3.98 Typical High $19.95 | Professional | None | $3.47 | $3.98 | $19.95 |
Security Health Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $107.15 | Professional | None | $16.60 | $16.60 | $107.15 |
Security Health Setting Professional Modifier None Typical Low $20.89 Median $47.86 Typical High $107.15 | Professional | None | $20.89 | $47.86 | $107.15 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.68 Typical High $23.99 | Professional | None | $3.24 | $4.68 | $23.99 |
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 $4.68 Median $4.68 Typical High $32.36 | Professional | 52 · Reduced service | $4.68 | $4.68 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $12.88 | Professional | 53 · Discontinued | $1.86 | $1.86 | $12.88 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 2nd 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.