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 $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.91 Typical High $107.15 | Professional | None | $8.13 | $8.91 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $19.50 Typical High $20.42 | Facility | None | $16.22 | $19.50 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.39 Median $12.59 Typical High $50.12 | Professional | None | $3.39 | $12.59 | $50.12 |
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 $19.05 Median $21.88 Typical High $28.84 | Facility | None | $19.05 | $21.88 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $12.88 Typical High $23.44 | Professional | None | $4.57 | $12.88 | $23.44 |
DeanCare Setting Facility Modifier None Typical Low $6.17 Median $33.88 Typical High $53.70 | Facility | None | $6.17 | $33.88 | $53.70 |
Medica Setting Facility Modifier None Typical Low $6.17 Median $8.91 Typical High $100.00 | Facility | None | $6.17 | $8.91 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.47 Median $7.41 Typical High $22.39 | Professional | None | $4.47 | $7.41 | $22.39 |
Network Health Setting Facility Modifier None Typical Low $8.91 Median $10.72 Typical High $19.95 | Facility | None | $8.91 | $10.72 | $19.95 |
Network Health Setting Professional Modifier None Typical Low $5.62 Median $7.59 Typical High $21.38 | Professional | None | $5.62 | $7.59 | $21.38 |
Prevea360 Setting Facility Modifier None Typical Low $6.03 Median $6.61 Typical High $9.55 | Facility | None | $6.03 | $6.61 | $9.55 |
Quartz Setting Professional Modifier None Typical Low $8.13 Median $17.38 Typical High $28.84 | Professional | None | $8.13 | $17.38 | $28.84 |
Quartz Setting Professional Modifier None Typical Low $3.55 Median $4.57 Typical High $19.50 | Professional | None | $3.55 | $4.57 | $19.50 |
Security Health Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $15.85 | Professional | None | $11.75 | $11.75 | $15.85 |
Security Health Setting Professional Modifier None Typical Low $11.75 Median $40.74 Typical High $52.48 | Professional | None | $11.75 | $40.74 | $52.48 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $23.99 | Facility | None | $8.91 | $8.91 | $23.99 |
United Setting Professional Modifier None Typical Low $3.72 Median $6.46 Typical High $26.30 | Professional | None | $3.72 | $6.46 | $26.30 |
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 $4.47 Median $4.47 Typical High $53.70 | Professional | 52 · Reduced service | $4.47 | $4.47 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $21.38 | Professional | 53 · Discontinued | $1.82 | $1.82 | $21.38 |
Where Wisconsin sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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
$10.96
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.