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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $436.52 | Professional | None | $33.11 | $33.11 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $70.79 Typical High $75.86 | Facility | None | $58.88 | $70.79 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $54.95 Typical High $144.54 | Professional | None | $10.96 | $54.95 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $79.43 Typical High $104.71 | Facility | None | $69.18 | $79.43 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $74.13 Typical High $85.11 | Professional | None | $13.18 | $74.13 | $85.11 |
DeanCare Setting Facility Modifier None Typical Low $33.11 Median $128.82 Typical High $173.78 | Facility | None | $33.11 | $128.82 | $173.78 |
DeanCare Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $181.97 | Professional | None | $162.18 | $162.18 | $181.97 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $33.11 Typical High $54.95 | Facility | None | $20.89 | $33.11 | $54.95 |
Medica Setting Professional Modifier None Typical Low $15.85 Median $33.11 Typical High $165.96 | Professional | None | $15.85 | $33.11 | $165.96 |
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 $27.54 Median $38.90 Typical High $77.62 | Professional | None | $27.54 | $38.90 | $77.62 |
Prevea360 Setting Facility Modifier None Typical Low $20.89 Median $33.11 Typical High $54.95 | Facility | None | $20.89 | $33.11 | $54.95 |
Quartz Setting Professional Modifier None Typical Low $30.20 Median $69.18 Typical High $93.33 | Professional | None | $30.20 | $69.18 | $93.33 |
Quartz Setting Professional Modifier None Typical Low $12.88 Median $13.80 Typical High $70.79 | Professional | None | $12.88 | $13.80 | $70.79 |
Security Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $57.54 | Professional | None | $20.42 | $20.42 | $57.54 |
Security Health Setting Professional Modifier None Typical Low $20.42 Median $141.25 Typical High $190.55 | Professional | None | $20.42 | $141.25 | $190.55 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $11.75 Median $17.38 Typical High $85.11 | Professional | None | $11.75 | $17.38 | $85.11 |
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 $16.22 Median $16.22 Typical High $218.78 | Professional | 52 · Reduced service | $16.22 | $16.22 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $87.10 | Professional | 53 · Discontinued | $6.61 | $6.61 | $87.10 |
Where Wisconsin sits
The same service costs 5.4 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
$45.71
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.