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 $5.75 Median $5.75 Typical High $7.41 | Facility | None | $5.75 | $5.75 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $5.75 Typical High $123.03 | Professional | None | $4.47 | $5.75 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $12.30 Typical High $13.18 | Facility | None | $10.23 | $12.30 | $13.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $7.94 Typical High $34.67 | Professional | None | $2.34 | $7.94 | $34.67 |
CareSource Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Facility | None | $3.63 | $3.63 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $14.45 Typical High $19.50 | Facility | None | $12.59 | $14.45 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $8.71 Typical High $14.79 | Professional | None | $3.09 | $8.71 | $14.79 |
DeanCare Setting Facility Modifier None Typical Low $4.27 Median $23.44 Typical High $36.31 | Facility | None | $4.27 | $23.44 | $36.31 |
Medica Setting Facility Modifier None Typical Low $3.89 Median $5.75 Typical High $60.26 | Facility | None | $3.89 | $5.75 | $60.26 |
Medica Setting Professional Modifier None Typical Low $2.82 Median $4.79 Typical High $15.49 | Professional | None | $2.82 | $4.79 | $15.49 |
Network Health Setting Facility Modifier None Typical Low $5.75 Median $7.41 Typical High $13.49 | Facility | None | $5.75 | $7.41 | $13.49 |
Network Health Setting Professional Modifier None Typical Low $3.55 Median $4.79 Typical High $13.49 | Professional | None | $3.55 | $4.79 | $13.49 |
Prevea360 Setting Facility Modifier None Typical Low $3.80 Median $4.27 Typical High $6.03 | Facility | None | $3.80 | $4.27 | $6.03 |
Quartz Setting Professional Modifier None Typical Low $5.25 Median $10.96 Typical High $19.95 | Professional | None | $5.25 | $10.96 | $19.95 |
Quartz Setting Professional Modifier None Typical Low $2.29 Median $3.09 Typical High $12.30 | Professional | None | $2.29 | $3.09 | $12.30 |
Security Health Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $19.05 | Professional | None | $10.00 | $10.00 | $19.05 |
Security Health Setting Professional Modifier None Typical Low $19.05 Median $20.42 Typical High $33.11 | Professional | None | $19.05 | $20.42 | $33.11 |
United Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
United Setting Professional Modifier None Typical Low $2.40 Median $4.79 Typical High $18.20 | Professional | None | $2.40 | $4.79 | $18.20 |
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 $2.82 Median $2.82 Typical High $61.66 | Professional | 52 · Reduced service | $2.82 | $2.82 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $24.55 | Professional | 53 · Discontinued | $1.12 | $1.12 | $24.55 |
Where Wisconsin sits
The same service costs 4.2 times more in Kansas than in Connecticut. 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· 4th of 51
$7.41
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.