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 $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $162.18 | Professional | None | $8.71 | $8.71 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $19.05 Typical High $19.95 | Facility | None | $15.85 | $19.05 | $19.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $12.30 Typical High $28.18 | Professional | None | $2.95 | $12.30 | $28.18 |
CareSource Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
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 $3.80 Median $12.88 Typical High $22.91 | Professional | None | $3.80 | $12.88 | $22.91 |
DeanCare Setting Facility Modifier None Typical Low $5.01 Median $14.45 Typical High $22.39 | Facility | None | $5.01 | $14.45 | $22.39 |
Medica Setting Facility Modifier None Typical Low $5.01 Median $6.92 Typical High $100.00 | Facility | None | $5.01 | $6.92 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.40 Median $6.46 Typical High $20.42 | Professional | None | $2.40 | $6.46 | $20.42 |
Network Health Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $11.22 | Facility | None | $4.47 | $4.47 | $11.22 |
Network Health Setting Professional Modifier None Typical Low $5.50 Median $7.24 Typical High $20.89 | Professional | None | $5.50 | $7.24 | $20.89 |
Prevea360 Setting Facility Modifier None Typical Low $5.01 Median $6.03 Typical High $9.33 | Facility | None | $5.01 | $6.03 | $9.33 |
Quartz Setting Professional Modifier None Typical Low $8.13 Median $17.38 Typical High $25.70 | Professional | None | $8.13 | $17.38 | $25.70 |
Quartz Setting Professional Modifier None Typical Low $3.55 Median $3.80 Typical High $19.05 | Professional | None | $3.55 | $3.80 | $19.05 |
Security Health Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $134.90 | Professional | None | $15.49 | $15.49 | $134.90 |
Security Health Setting Professional Modifier None Typical Low $14.45 Median $44.67 Typical High $134.90 | Professional | None | $14.45 | $44.67 | $134.90 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.91 | Facility | None | $8.71 | $8.71 | $8.91 |
United Setting Professional Modifier None Typical Low $3.09 Median $5.89 Typical High $22.39 | Professional | None | $3.09 | $5.89 | $22.39 |
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 $4.37 Median $4.37 Typical High $81.28 | Professional | 52 · Reduced service | $4.37 | $4.37 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $32.36 | Professional | 53 · Discontinued | $1.74 | $1.74 | $32.36 |
Where Wisconsin sits
The same service costs 4.3 times more in Kansas than in Kentucky. 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· 5th of 51
$10.47
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.