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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $2,691.53 | Professional | None | $263.03 | $263.03 | $2,691.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $562.34 Typical High $602.56 | Facility | None | $467.74 | $562.34 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $457.09 Typical High $1,548.82 | Professional | None | $104.71 | $457.09 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $645.65 Typical High $831.76 | Facility | None | $549.54 | $645.65 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $602.56 Typical High $676.08 | Professional | None | $109.65 | $602.56 | $676.08 |
DeanCare Setting Facility Modifier None Typical Low $263.03 Median $1,348.96 Typical High $1,862.09 | Facility | None | $263.03 | $1,348.96 | $1,862.09 |
DeanCare Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,445.44 | Professional | None | $1,318.26 | $1,318.26 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $263.03 Typical High $467.74 | Facility | None | $169.82 | $263.03 | $467.74 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $295.12 Typical High $1,096.48 | Professional | None | $131.83 | $295.12 | $1,096.48 |
Network Health Setting Facility Modifier None Typical Low $263.03 Median $331.13 Typical High $616.60 | Facility | None | $263.03 | $331.13 | $616.60 |
Network Health Setting Professional Modifier None Typical Low $218.78 Median $371.54 Typical High $616.60 | Professional | None | $218.78 | $371.54 | $616.60 |
Prevea360 Setting Facility Modifier None Typical Low $169.82 Median $263.03 Typical High $467.74 | Facility | None | $169.82 | $263.03 | $467.74 |
Quartz Setting Professional Modifier None Typical Low $239.88 Median $549.54 Typical High $758.58 | Professional | None | $239.88 | $549.54 | $758.58 |
Quartz Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $562.34 | Professional | None | $104.71 | $141.25 | $562.34 |
Security Health Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $467.74 | Professional | None | $218.78 | $218.78 | $467.74 |
Security Health Setting Professional Modifier None Typical Low $218.78 Median $1,202.26 Typical High $1,513.56 | Professional | None | $218.78 | $1,202.26 | $1,513.56 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $91.20 Median $177.83 Typical High $812.83 | Professional | None | $91.20 | $177.83 | $812.83 |
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 $131.83 Median $131.83 Typical High $1,380.38 | Professional | 52 · Reduced service | $131.83 | $131.83 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $549.54 | Professional | 53 · Discontinued | $52.48 | $52.48 | $549.54 |
Where Wisconsin sits
The same service costs 3.6 times more in Alaska than in Oklahoma. 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
$457
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.