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 $15.85 Typical High $18.20 | Facility | None | $15.14 | $15.85 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $478.63 | Professional | None | $12.59 | $15.85 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $34.67 Typical High $36.31 | Facility | None | $28.18 | $34.67 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $22.39 Typical High $87.10 | Professional | None | $5.89 | $22.39 | $87.10 |
CareSource Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $38.90 Typical High $51.29 | Facility | None | $33.11 | $38.90 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $22.91 Typical High $41.69 | Professional | None | $7.76 | $22.91 | $41.69 |
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 $10.72 Median $13.18 Typical High $165.96 | Facility | None | $10.72 | $13.18 | $165.96 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $13.18 Typical High $38.90 | Professional | None | $7.94 | $13.18 | $38.90 |
Network Health Setting Facility Modifier None Typical Low $15.85 Median $18.62 Typical High $34.67 | Facility | None | $15.85 | $18.62 | $34.67 |
Network Health Setting Professional Modifier None Typical Low $10.00 Median $13.49 Typical High $37.15 | Professional | None | $10.00 | $13.49 | $37.15 |
Prevea360 Setting Facility Modifier None Typical Low $10.72 Median $11.48 Typical High $16.98 | Facility | None | $10.72 | $11.48 | $16.98 |
Quartz Setting Professional Modifier None Typical Low $14.79 Median $31.62 Typical High $50.12 | Professional | None | $14.79 | $31.62 | $50.12 |
Quartz Setting Professional Modifier None Typical Low $6.31 Median $7.76 Typical High $34.67 | Professional | None | $6.31 | $7.76 | $34.67 |
Security Health Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $123.03 | Professional | None | $28.18 | $28.18 | $123.03 |
Security Health Setting Professional Modifier None Typical Low $51.29 Median $89.13 Typical High $123.03 | Professional | None | $51.29 | $89.13 | $123.03 |
United Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $6.61 Median $10.72 Typical High $45.71 | Professional | None | $6.61 | $10.72 | $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 $7.94 Median $7.94 Typical High $239.88 | Professional | 52 · Reduced service | $7.94 | $7.94 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $95.50 | Professional | 53 · Discontinued | $3.16 | $3.16 | $95.50 |
Where Wisconsin sits
The same service costs 3.7 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· 7th of 51
$19.50
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.