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 $31.62 Median $31.62 Typical High $36.31 | Facility | None | $31.62 | $31.62 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $512.86 | Professional | None | $31.62 | $31.62 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $67.61 Typical High $72.44 | Facility | None | $56.23 | $67.61 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $43.65 Typical High $190.55 | Professional | None | $12.88 | $43.65 | $190.55 |
CareSource Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $77.62 Typical High $100.00 | Facility | None | $66.07 | $77.62 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $44.67 Typical High $81.28 | Professional | None | $16.98 | $44.67 | $81.28 |
DeanCare Setting Facility Modifier None Typical Low $23.44 Median $128.82 Typical High $199.53 | Facility | None | $23.44 | $128.82 | $199.53 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $26.30 Typical High $125.89 | Facility | None | $20.89 | $26.30 | $125.89 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $26.30 Typical High $85.11 | Professional | None | $15.49 | $26.30 | $85.11 |
Network Health Setting Facility Modifier None Typical Low $31.62 Median $39.81 Typical High $74.13 | Facility | None | $31.62 | $39.81 | $74.13 |
Network Health Setting Professional Modifier None Typical Low $19.50 Median $26.30 Typical High $74.13 | Professional | None | $19.50 | $26.30 | $74.13 |
Prevea360 Setting Facility Modifier None Typical Low $20.89 Median $23.44 Typical High $33.11 | Facility | None | $20.89 | $23.44 | $33.11 |
Quartz Setting Professional Modifier None Typical Low $28.84 Median $61.66 Typical High $109.65 | Professional | None | $28.84 | $61.66 | $109.65 |
Quartz Setting Professional Modifier None Typical Low $12.59 Median $16.98 Typical High $67.61 | Professional | None | $12.59 | $16.98 | $67.61 |
Security Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $54.95 | Professional | None | $38.02 | $38.02 | $54.95 |
Security Health Setting Professional Modifier None Typical Low $38.02 Median $100.00 Typical High $181.97 | Professional | None | $38.02 | $100.00 | $181.97 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $13.18 Median $21.88 Typical High $100.00 | Professional | None | $13.18 | $21.88 | $100.00 |
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 $15.49 Median $15.49 Typical High $257.04 | Professional | 52 · Reduced service | $15.49 | $15.49 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $102.33 | Professional | 53 · Discontinued | $6.31 | $6.31 | $102.33 |
Where Wisconsin sits
The same service costs 6.0 times more in Alaska than in Alabama. 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
$38.02
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.