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 $6.17 Median $6.46 Typical High $6.46 | Facility | None | $6.17 | $6.46 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.46 Typical High $134.90 | Professional | None | $6.31 | $6.46 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $14.13 Typical High $14.79 | Facility | None | $11.48 | $14.13 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.63 Median $9.12 Typical High $38.90 | Professional | None | $2.63 | $9.12 | $38.90 |
CareSource Setting Facility Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Facility | None | $4.07 | $4.07 | $4.07 |
CareSource Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | None | $5.37 | $5.37 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $15.85 Typical High $20.89 | Facility | None | $13.49 | $15.85 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $9.33 Typical High $16.98 | Professional | None | $3.63 | $9.33 | $16.98 |
DeanCare Setting Facility Modifier None Typical Low $4.79 Median $26.92 Typical High $41.69 | Facility | None | $4.79 | $26.92 | $41.69 |
Medica Setting Facility Modifier None Typical Low $4.47 Median $6.46 Typical High $100.00 | Facility | None | $4.47 | $6.46 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.24 Median $5.37 Typical High $17.78 | Professional | None | $3.24 | $5.37 | $17.78 |
Network Health Setting Facility Modifier None Typical Low $6.46 Median $8.32 Typical High $15.49 | Facility | None | $6.46 | $8.32 | $15.49 |
Network Health Setting Professional Modifier None Typical Low $4.07 Median $5.50 Typical High $15.14 | Professional | None | $4.07 | $5.50 | $15.14 |
Prevea360 Setting Facility Modifier None Typical Low $4.27 Median $4.79 Typical High $6.92 | Facility | None | $4.27 | $4.79 | $6.92 |
Quartz Setting Professional Modifier None Typical Low $5.89 Median $12.59 Typical High $22.39 | Professional | None | $5.89 | $12.59 | $22.39 |
Quartz Setting Professional Modifier None Typical Low $2.63 Median $3.63 Typical High $14.13 | Professional | None | $2.63 | $3.63 | $14.13 |
Security Health Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $12.02 | Professional | None | $11.48 | $11.48 | $12.02 |
Security Health Setting Professional Modifier None Typical Low $12.02 Median $28.84 Typical High $38.02 | Professional | None | $12.02 | $28.84 | $38.02 |
United Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $18.20 | Facility | None | $6.46 | $6.46 | $18.20 |
United Setting Professional Modifier None Typical Low $2.69 Median $4.57 Typical High $20.42 | Professional | None | $2.69 | $4.57 | $20.42 |
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 $3.24 Median $3.24 Typical High $67.61 | Professional | 52 · Reduced service | $3.24 | $3.24 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $26.92 | Professional | 53 · Discontinued | $1.29 | $1.29 | $26.92 |
Where Wisconsin sits
The same service costs 4.2 times more in Kansas 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· 8th of 51
$8.13
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.