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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $120.23 | Professional | None | $15.14 | $15.14 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $33.11 Typical High $34.67 | Facility | None | $26.92 | $33.11 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $21.38 Typical High $87.10 | Professional | None | $5.89 | $21.38 | $87.10 |
CareSource Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $37.15 Typical High $48.98 | Facility | None | $31.62 | $37.15 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $21.88 Typical High $39.81 | Professional | None | $7.76 | $21.88 | $39.81 |
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 $10.23 Median $12.02 Typical High $72.44 | Facility | None | $10.23 | $12.02 | $72.44 |
Medica Setting Professional Modifier None Typical Low $7.59 Median $12.59 Typical High $38.90 | Professional | None | $7.59 | $12.59 | $38.90 |
Network Health Setting Facility Modifier None Typical Low $15.14 Median $18.62 Typical High $34.67 | Facility | None | $15.14 | $18.62 | $34.67 |
Network Health Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $35.48 | Professional | None | $9.55 | $12.88 | $35.48 |
Prevea360 Setting Facility Modifier None Typical Low $10.23 Median $11.48 Typical High $16.22 | Facility | None | $10.23 | $11.48 | $16.22 |
Quartz Setting Professional Modifier None Typical Low $14.13 Median $30.20 Typical High $50.12 | Professional | None | $14.13 | $30.20 | $50.12 |
Quartz Setting Professional Modifier None Typical Low $6.03 Median $7.76 Typical High $33.11 | Professional | None | $6.03 | $7.76 | $33.11 |
Security Health Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $26.92 | Professional | None | $12.30 | $12.30 | $26.92 |
Security Health Setting Professional Modifier None Typical Low $12.30 Median $47.86 Typical High $89.13 | Professional | None | $12.30 | $47.86 | $89.13 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $6.31 Median $10.96 Typical High $45.71 | Professional | None | $6.31 | $10.96 | $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 $7.59 Median $7.59 Typical High $60.26 | Professional | 52 · Reduced service | $7.59 | $7.59 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $23.99 | Professional | 53 · Discontinued | $3.02 | $3.02 | $23.99 |
Where Wisconsin sits
The same service costs 3.9 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
$18.20
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.