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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $398.11 | Professional | None | $41.69 | $41.69 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $91.20 Typical High $95.50 | Facility | None | $75.86 | $91.20 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $77.62 Typical High $257.04 | Professional | None | $17.38 | $77.62 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $102.33 Typical High $134.90 | Facility | None | $87.10 | $102.33 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $95.50 Typical High $109.65 | Professional | None | $17.78 | $95.50 | $109.65 |
DeanCare Setting Facility Modifier None Typical Low $41.69 Median $223.87 Typical High $302.00 | Facility | None | $41.69 | $223.87 | $302.00 |
DeanCare Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $234.42 | Professional | None | $208.93 | $208.93 | $234.42 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $41.69 Typical High $75.86 | Facility | None | $26.92 | $41.69 | $75.86 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $48.98 Typical High $363.08 | Professional | None | $20.89 | $48.98 | $363.08 |
Network Health Setting Facility Modifier None Typical Low $41.69 Median $53.70 Typical High $100.00 | Facility | None | $41.69 | $53.70 | $100.00 |
Network Health Setting Professional Modifier None Typical Low $44.67 Median $61.66 Typical High $100.00 | Professional | None | $44.67 | $61.66 | $100.00 |
Prevea360 Setting Facility Modifier None Typical Low $26.92 Median $41.69 Typical High $75.86 | Facility | None | $26.92 | $41.69 | $75.86 |
Quartz Setting Professional Modifier None Typical Low $38.90 Median $89.13 Typical High $147.91 | Professional | None | $38.90 | $89.13 | $147.91 |
Quartz Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $91.20 | Professional | None | $16.60 | $23.44 | $91.20 |
Security Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $74.13 | Professional | None | $36.31 | $36.31 | $74.13 |
Security Health Setting Professional Modifier None Typical Low $36.31 Median $144.54 Typical High $245.47 | Professional | None | $36.31 | $144.54 | $245.47 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $15.85 Median $28.84 Typical High $134.90 | Professional | None | $15.85 | $28.84 | $134.90 |
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 $20.89 Median $20.89 Typical High $199.53 | Professional | 52 · Reduced service | $20.89 | $20.89 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $79.43 | Professional | 53 · Discontinued | $8.51 | $8.51 | $79.43 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 2nd of 51
$74.13
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.