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 $12.30 Median $12.30 Typical High $15.85 | Facility | None | $12.30 | $12.30 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.30 Typical High $107.15 | Professional | None | $12.02 | $12.30 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $28.18 | Facility | None | $22.39 | $26.92 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $17.38 Typical High $75.86 | Professional | None | $5.13 | $17.38 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
CareSource Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $30.20 Typical High $39.81 | Facility | None | $26.30 | $30.20 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $17.78 Typical High $32.36 | Professional | None | $6.92 | $17.78 | $32.36 |
DeanCare Setting Facility Modifier None Typical Low $9.12 Median $51.29 Typical High $79.43 | Facility | None | $9.12 | $51.29 | $79.43 |
Medica Setting Facility Modifier None Typical Low $9.12 Median $51.29 Typical High $123.03 | Facility | None | $9.12 | $51.29 | $123.03 |
Medica Setting Professional Modifier None Typical Low $6.17 Median $10.23 Typical High $33.88 | Professional | None | $6.17 | $10.23 | $33.88 |
Network Health Setting Facility Modifier None Typical Low $12.30 Median $15.85 Typical High $29.51 | Facility | None | $12.30 | $15.85 | $29.51 |
Network Health Setting Professional Modifier None Typical Low $7.76 Median $10.47 Typical High $29.51 | Professional | None | $7.76 | $10.47 | $29.51 |
Prevea360 Setting Facility Modifier None Typical Low $8.32 Median $9.33 Typical High $13.18 | Facility | None | $8.32 | $9.33 | $13.18 |
Quartz Setting Professional Modifier None Typical Low $11.48 Median $24.55 Typical High $43.65 | Professional | None | $11.48 | $24.55 | $43.65 |
Quartz Setting Professional Modifier None Typical Low $4.90 Median $6.92 Typical High $26.92 | Professional | None | $4.90 | $6.92 | $26.92 |
Security Health Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $21.88 | Professional | None | $16.22 | $16.22 | $21.88 |
Security Health Setting Professional Modifier None Typical Low $16.22 Median $40.74 Typical High $72.44 | Professional | None | $16.22 | $40.74 | $72.44 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
United Setting Professional Modifier None Typical Low $5.13 Median $8.71 Typical High $38.90 | Professional | None | $5.13 | $8.71 | $38.90 |
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 $6.17 Median $6.17 Typical High $66.07 | Professional | 52 · Reduced service | $6.17 | $6.17 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $26.30 | Professional | 53 · Discontinued | $2.45 | $2.45 | $26.30 |
Where Wisconsin sits
The same service costs 12.6 times more in Vermont 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· 7th of 51
$16.22
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.