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 $10.00 Median $10.47 Typical High $13.49 | Facility | None | $10.00 | $10.47 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.47 Typical High $100.00 | Professional | None | $10.23 | $10.47 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $22.39 Typical High $23.99 | Facility | None | $18.62 | $22.39 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $14.45 Typical High $63.10 | Professional | None | $4.27 | $14.45 | $63.10 |
CareSource Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
CareSource Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $25.12 Typical High $33.11 | Facility | None | $21.88 | $25.12 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $22.39 Typical High $43.65 | Professional | None | $5.75 | $22.39 | $43.65 |
DeanCare Setting Facility Modifier None Typical Low $7.76 Median $42.66 Typical High $67.61 | Facility | None | $7.76 | $42.66 | $67.61 |
Medica Setting Facility Modifier None Typical Low $8.13 Median $83.18 Typical High $125.89 | Facility | None | $8.13 | $83.18 | $125.89 |
Medica Setting Professional Modifier None Typical Low $5.25 Median $8.71 Typical High $28.18 | Professional | None | $5.25 | $8.71 | $28.18 |
Network Health Setting Facility Modifier None Typical Low $10.47 Median $13.49 Typical High $24.55 | Facility | None | $10.47 | $13.49 | $24.55 |
Network Health Setting Professional Modifier None Typical Low $6.46 Median $8.91 Typical High $24.55 | Professional | None | $6.46 | $8.91 | $24.55 |
Prevea360 Setting Facility Modifier None Typical Low $6.92 Median $7.76 Typical High $10.96 | Facility | None | $6.92 | $7.76 | $10.96 |
Quartz Setting Professional Modifier None Typical Low $9.55 Median $20.42 Typical High $36.31 | Professional | None | $9.55 | $20.42 | $36.31 |
Quartz Setting Professional Modifier None Typical Low $4.17 Median $5.75 Typical High $70.79 | Professional | None | $4.17 | $5.75 | $70.79 |
Security Health Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $18.62 | Professional | None | $11.75 | $11.75 | $18.62 |
Security Health Setting Professional Modifier None Typical Low $11.75 Median $34.67 Typical High $60.26 | Professional | None | $11.75 | $34.67 | $60.26 |
United Setting Facility Modifier None Typical Low $2.95 Median $10.47 Typical High $44.67 | Facility | None | $2.95 | $10.47 | $44.67 |
United Setting Professional Modifier None Typical Low $4.37 Median $7.24 Typical High $33.11 | Professional | None | $4.37 | $7.24 | $33.11 |
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 $5.25 Median $5.25 Typical High $51.29 | Professional | 52 · Reduced service | $5.25 | $5.25 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $20.42 | Professional | 53 · Discontinued | $2.09 | $2.09 | $20.42 |
Where Wisconsin sits
The same service costs 13.2 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· 11th of 51
$14.45
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.