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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $436.52 | Professional | None | $35.48 | $35.48 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $77.62 Typical High $81.28 | Facility | None | $64.57 | $77.62 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $60.26 Typical High $147.91 | Professional | None | $12.02 | $60.26 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $87.10 Typical High $114.82 | Facility | None | $74.13 | $87.10 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $81.28 Typical High $93.33 | Professional | None | $14.13 | $81.28 | $93.33 |
DeanCare Setting Facility Modifier None Typical Low $35.48 Median $128.82 Typical High $173.78 | Facility | None | $35.48 | $128.82 | $173.78 |
DeanCare Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $199.53 | Professional | None | $177.83 | $177.83 | $199.53 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $35.48 Typical High $60.26 | Facility | None | $22.91 | $35.48 | $60.26 |
Medica Setting Professional Modifier None Typical Low $16.60 Median $35.48 Typical High $181.97 | Professional | None | $16.60 | $35.48 | $181.97 |
Network Health Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $57.54 | Facility | None | $30.90 | $30.90 | $57.54 |
Network Health Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $85.11 | Professional | None | $29.51 | $38.90 | $85.11 |
Prevea360 Setting Facility Modifier None Typical Low $22.91 Median $35.48 Typical High $60.26 | Facility | None | $22.91 | $35.48 | $60.26 |
Quartz Setting Professional Modifier None Typical Low $33.11 Median $75.86 Typical High $102.33 | Professional | None | $33.11 | $75.86 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $13.18 Median $15.14 Typical High $77.62 | Professional | None | $13.18 | $15.14 | $77.62 |
Security Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $63.10 | Professional | None | $20.42 | $20.42 | $63.10 |
Security Health Setting Professional Modifier None Typical Low $20.42 Median $87.10 Typical High $208.93 | Professional | None | $20.42 | $87.10 | $208.93 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $12.59 Median $17.78 Typical High $91.20 | Professional | None | $12.59 | $17.78 | $91.20 |
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 $17.78 Median $17.78 Typical High $218.78 | Professional | 52 · Reduced service | $17.78 | $17.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $87.10 | Professional | 53 · Discontinued | $7.08 | $7.08 | $87.10 |
Where Wisconsin sits
The same service costs 5.4 times more in Texas 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· 3rd of 51
$50.12
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.