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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $263.03 | Professional | None | $26.30 | $26.30 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $57.54 Typical High $60.26 | Facility | None | $46.77 | $57.54 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $36.31 Typical High $128.82 | Professional | None | $8.71 | $36.31 | $128.82 |
CareSource Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $64.57 Typical High $85.11 | Facility | None | $54.95 | $64.57 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $38.02 Typical High $67.61 | Professional | None | $11.48 | $38.02 | $67.61 |
DeanCare Setting Facility Modifier None Typical Low $15.85 Median $87.10 Typical High $134.90 | Facility | None | $15.85 | $87.10 | $134.90 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $20.42 Typical High $104.71 | Facility | None | $15.85 | $20.42 | $104.71 |
Medica Setting Professional Modifier None Typical Low $12.59 Median $21.88 Typical High $60.26 | Professional | None | $12.59 | $21.88 | $60.26 |
Network Health Setting Facility Modifier None Typical Low $26.30 Median $27.54 Typical High $50.12 | Facility | None | $26.30 | $27.54 | $50.12 |
Network Health Setting Professional Modifier None Typical Low $16.60 Median $22.39 Typical High $61.66 | Professional | None | $16.60 | $22.39 | $61.66 |
Prevea360 Setting Facility Modifier None Typical Low $15.85 Median $17.78 Typical High $28.18 | Facility | None | $15.85 | $17.78 | $28.18 |
Quartz Setting Professional Modifier None Typical Low $24.55 Median $52.48 Typical High $74.13 | Professional | None | $24.55 | $52.48 | $74.13 |
Quartz Setting Professional Modifier None Typical Low $10.47 Median $11.48 Typical High $57.54 | Professional | None | $10.47 | $11.48 | $57.54 |
Security Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $46.77 | Professional | None | $18.20 | $18.20 | $46.77 |
Security Health Setting Professional Modifier None Typical Low $18.20 Median $120.23 Typical High $154.88 | Professional | None | $18.20 | $120.23 | $154.88 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $10.96 Median $17.38 Typical High $67.61 | Professional | None | $10.96 | $17.38 | $67.61 |
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 $13.18 Median $13.18 Typical High $131.83 | Professional | 52 · Reduced service | $13.18 | $13.18 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $52.48 | Professional | 53 · Discontinued | $5.25 | $5.25 | $52.48 |
Where Wisconsin sits
The same service costs 4.7 times more in Alaska than in Alabama. 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· 6th of 51
$31.62
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.