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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $323.59 | Professional | None | $50.12 | $50.12 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $109.65 Typical High $114.82 | Facility | None | $89.13 | $109.65 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $93.33 Typical High $302.00 | Professional | None | $20.42 | $93.33 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $162.18 | Facility | None | $104.71 | $123.03 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $114.82 Typical High $131.83 | Professional | None | $21.38 | $114.82 | $131.83 |
DeanCare Setting Facility Modifier None Typical Low $50.12 Median $269.15 Typical High $363.08 | Facility | None | $50.12 | $269.15 | $363.08 |
DeanCare Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $275.42 | Professional | None | $251.19 | $251.19 | $275.42 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $50.12 Typical High $91.20 | Facility | None | $32.36 | $50.12 | $91.20 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $58.88 Typical High $346.74 | Professional | None | $25.12 | $58.88 | $346.74 |
Network Health Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $120.23 | Facility | None | $50.12 | $64.57 | $120.23 |
Network Health Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $117.49 | Professional | None | $52.48 | $72.44 | $117.49 |
Prevea360 Setting Facility Modifier None Typical Low $32.36 Median $50.12 Typical High $91.20 | Facility | None | $32.36 | $50.12 | $91.20 |
Quartz Setting Professional Modifier None Typical Low $46.77 Median $104.71 Typical High $173.78 | Professional | None | $46.77 | $104.71 | $173.78 |
Quartz Setting Professional Modifier None Typical Low $19.95 Median $27.54 Typical High $109.65 | Professional | None | $19.95 | $27.54 | $109.65 |
Security Health Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $89.13 | Professional | None | $42.66 | $42.66 | $89.13 |
Security Health Setting Professional Modifier None Typical Low $42.66 Median $165.96 Typical High $295.12 | Professional | None | $42.66 | $165.96 | $295.12 |
United Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier None Typical Low $20.89 Median $34.67 Typical High $158.49 | Professional | None | $20.89 | $34.67 | $158.49 |
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 $25.12 Median $25.12 Typical High $162.18 | Professional | 52 · Reduced service | $25.12 | $25.12 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $64.57 | Professional | 53 · Discontinued | $10.00 | $10.00 | $64.57 |
Where Wisconsin sits
The same service costs 3.3 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· 3rd of 51
$87.10
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.