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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $331.13 | Professional | None | $14.45 | $14.45 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $33.11 | Facility | None | $25.70 | $30.90 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $19.95 Typical High $87.10 | Professional | None | $5.89 | $19.95 | $87.10 |
CareSource Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $34.67 Typical High $45.71 | Facility | None | $29.51 | $34.67 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $20.42 Typical High $37.15 | Professional | None | $7.76 | $20.42 | $37.15 |
DeanCare Setting Facility Modifier None Typical Low $10.72 Median $58.88 Typical High $93.33 | Facility | None | $10.72 | $58.88 | $93.33 |
Medica Setting Facility Modifier None Typical Low $9.55 Median $12.02 Typical High $70.79 | Facility | None | $9.55 | $12.02 | $70.79 |
Medica Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $38.90 | Professional | None | $7.24 | $12.02 | $38.90 |
Network Health Setting Facility Modifier None Typical Low $14.45 Median $18.62 Typical High $34.67 | Facility | None | $14.45 | $18.62 | $34.67 |
Network Health Setting Professional Modifier None Typical Low $8.91 Median $12.30 Typical High $33.88 | Professional | None | $8.91 | $12.30 | $33.88 |
Prevea360 Setting Facility Modifier None Typical Low $9.55 Median $10.72 Typical High $15.49 | Facility | None | $9.55 | $10.72 | $15.49 |
Quartz Setting Professional Modifier None Typical Low $13.49 Median $28.18 Typical High $50.12 | Professional | None | $13.49 | $28.18 | $50.12 |
Quartz Setting Professional Modifier None Typical Low $5.75 Median $7.76 Typical High $30.90 | Professional | None | $5.75 | $7.76 | $30.90 |
Security Health Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $25.70 | Professional | None | $12.30 | $12.30 | $25.70 |
Security Health Setting Professional Modifier None Typical Low $12.30 Median $47.86 Typical High $83.18 | Professional | None | $12.30 | $47.86 | $83.18 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
United Setting Professional Modifier None Typical Low $6.03 Median $10.47 Typical High $45.71 | Professional | None | $6.03 | $10.47 | $45.71 |
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 $7.24 Median $7.24 Typical High $165.96 | Professional | 52 · Reduced service | $7.24 | $7.24 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $66.07 | Professional | 53 · Discontinued | $2.88 | $2.88 | $66.07 |
Where Wisconsin sits
The same service costs 4.5 times more in Kansas than in New Jersey. 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· 9th of 51
$16.98
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.