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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $204.17 | Professional | None | $72.44 | $72.44 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $158.49 Typical High $165.96 | Facility | None | $131.83 | $158.49 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $75.86 Typical High $234.42 | Professional | None | $24.55 | $75.86 | $234.42 |
CareSource Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $177.83 Typical High $234.42 | Facility | None | $151.36 | $177.83 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $91.20 Typical High $190.55 | Professional | None | $28.84 | $91.20 | $190.55 |
DeanCare Setting Facility Modifier None Typical Low $30.20 Median $72.44 Typical High $102.33 | Facility | None | $30.20 | $72.44 | $102.33 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $57.54 Typical High $288.40 | Facility | None | $30.20 | $57.54 | $288.40 |
Medica Setting Professional Modifier None Typical Low $10.00 Median $36.31 Typical High $169.82 | Professional | None | $10.00 | $36.31 | $169.82 |
Network Health Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $93.33 | Facility | None | $18.62 | $18.62 | $93.33 |
Network Health Setting Professional Modifier None Typical Low $22.91 Median $60.26 Typical High $173.78 | Professional | None | $22.91 | $60.26 | $173.78 |
Prevea360 Setting Facility Modifier None Typical Low $30.20 Median $50.12 Typical High $77.62 | Facility | None | $30.20 | $50.12 | $77.62 |
Quartz Setting Professional Modifier None Typical Low $67.61 Median $138.04 Typical High $199.53 | Professional | None | $67.61 | $138.04 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $7.76 Median $28.84 Typical High $158.49 | Professional | None | $7.76 | $28.84 | $158.49 |
Security Health Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $128.82 | Professional | None | $12.30 | $12.30 | $128.82 |
Security Health Setting Professional Modifier None Typical Low $12.30 Median $331.13 Typical High $426.58 | Professional | None | $12.30 | $331.13 | $426.58 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
United Setting Professional Modifier None Typical Low $16.60 Median $36.31 Typical High $186.21 | Professional | None | $16.60 | $36.31 | $186.21 |
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 $36.31 Median $36.31 Typical High $102.33 | Professional | 52 · Reduced service | $36.31 | $36.31 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $40.74 | Professional | 53 · Discontinued | $14.45 | $14.45 | $40.74 |
Where Wisconsin sits
The same service costs 9.1 times more in Alaska 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
$72.44
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.