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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $478.63 | Professional | None | $52.48 | $52.48 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $114.82 Typical High $120.23 | Facility | None | $93.33 | $114.82 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $89.13 Typical High $295.12 | Professional | None | $19.95 | $89.13 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $128.82 Typical High $169.82 | Facility | None | $109.65 | $128.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $120.23 Typical High $199.53 | Professional | None | $25.12 | $120.23 | $199.53 |
DeanCare Setting Facility Modifier None Typical Low $52.48 Median $257.04 Typical High $346.74 | Facility | None | $52.48 | $257.04 | $346.74 |
DeanCare Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $288.40 | Professional | None | $263.03 | $263.03 | $288.40 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $56.23 Typical High $234.42 | Facility | None | $43.65 | $56.23 | $234.42 |
Medica Setting Professional Modifier None Typical Low $26.30 Median $57.54 Typical High $331.13 | Professional | None | $26.30 | $57.54 | $331.13 |
Network Health Setting Facility Modifier None Typical Low $52.48 Median $61.66 Typical High $114.82 | Facility | None | $52.48 | $61.66 | $114.82 |
Network Health Setting Professional Modifier None Typical Low $50.12 Median $69.18 Typical High $123.03 | Professional | None | $50.12 | $69.18 | $123.03 |
Prevea360 Setting Facility Modifier None Typical Low $33.88 Median $52.48 Typical High $87.10 | Facility | None | $33.88 | $52.48 | $87.10 |
Quartz Setting Professional Modifier None Typical Low $48.98 Median $102.33 Typical High $144.54 | Professional | None | $48.98 | $102.33 | $144.54 |
Quartz Setting Professional Modifier None Typical Low $20.89 Median $51.29 Typical High $363.08 | Professional | None | $20.89 | $51.29 | $363.08 |
Security Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $93.33 | Professional | None | $67.61 | $67.61 | $93.33 |
Security Health Setting Professional Modifier None Typical Low $67.61 Median $158.49 Typical High $309.03 | Professional | None | $67.61 | $158.49 | $309.03 |
United Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
United Setting Professional Modifier None Typical Low $21.88 Median $34.67 Typical High $151.36 | Professional | None | $21.88 | $34.67 | $151.36 |
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 $26.30 Median $26.30 Typical High $245.47 | Professional | 52 · Reduced service | $26.30 | $26.30 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $97.72 | Professional | 53 · Discontinued | $10.47 | $10.47 | $97.72 |
Where Wisconsin sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$89.13
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.