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 $398.11 | Professional | None | $26.30 | $26.30 | $398.11 |
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 $10.00 Median $44.67 Typical High $144.54 | Professional | None | $10.00 | $44.67 | $144.54 |
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 $10.47 Median $60.26 Typical High $69.18 | Professional | None | $10.47 | $60.26 | $69.18 |
DeanCare Setting Facility Modifier None Typical Low $26.30 Median $128.82 Typical High $173.78 | Facility | None | $26.30 | $128.82 | $173.78 |
DeanCare Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | None | $131.83 | $131.83 | $144.54 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $26.30 Typical High $43.65 | Facility | None | $16.98 | $26.30 | $43.65 |
Medica Setting Professional Modifier None Typical Low $13.18 Median $28.84 Typical High $181.97 | Professional | None | $13.18 | $28.84 | $181.97 |
Network Health Setting Facility Modifier None Typical Low $26.30 Median $30.90 Typical High $57.54 | Facility | None | $26.30 | $30.90 | $57.54 |
Network Health Setting Professional Modifier None Typical Low $25.12 Median $34.67 Typical High $61.66 | Professional | None | $25.12 | $34.67 | $61.66 |
Prevea360 Setting Facility Modifier None Typical Low $16.98 Median $26.30 Typical High $43.65 | Facility | None | $16.98 | $26.30 | $43.65 |
Quartz Setting Professional Modifier None Typical Low $24.55 Median $56.23 Typical High $83.18 | Professional | None | $24.55 | $56.23 | $83.18 |
Quartz Setting Professional Modifier None Typical Low $10.47 Median $13.18 Typical High $57.54 | Professional | None | $10.47 | $13.18 | $57.54 |
Security Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $46.77 | Professional | None | $20.42 | $20.42 | $46.77 |
Security Health Setting Professional Modifier None Typical Low $20.42 Median $79.43 Typical High $154.88 | Professional | None | $20.42 | $79.43 | $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 $75.86 | Professional | None | $10.96 | $17.38 | $75.86 |
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 $199.53 | Professional | 52 · Reduced service | $13.18 | $13.18 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $79.43 | Professional | 53 · Discontinued | $5.25 | $5.25 | $79.43 |
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· 2nd of 51
$44.67
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.