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 $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $162.18 | Professional | None | $42.66 | $42.66 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $91.20 Typical High $97.72 | Facility | None | $75.86 | $91.20 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $53.70 Typical High $138.04 | Professional | None | $14.13 | $53.70 | $138.04 |
CareSource Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $102.33 Typical High $134.90 | Facility | None | $89.13 | $102.33 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $60.26 Typical High $109.65 | Professional | None | $16.98 | $60.26 | $109.65 |
DeanCare Setting Facility Modifier None Typical Low $10.72 Median $66.07 Typical High $93.33 | Facility | None | $10.72 | $66.07 | $93.33 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $33.11 Typical High $165.96 | Facility | None | $10.72 | $33.11 | $165.96 |
Medica Setting Professional Modifier None Typical Low $10.00 Median $26.92 Typical High $97.72 | Professional | None | $10.00 | $26.92 | $97.72 |
Network Health Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $54.95 | Facility | None | $18.62 | $18.62 | $54.95 |
Network Health Setting Professional Modifier None Typical Low $22.91 Median $35.48 Typical High $100.00 | Professional | None | $22.91 | $35.48 | $100.00 |
Prevea360 Setting Facility Modifier None Typical Low $10.72 Median $28.84 Typical High $44.67 | Facility | None | $10.72 | $28.84 | $44.67 |
Quartz Setting Professional Modifier None Typical Low $38.90 Median $81.28 Typical High $117.49 | Professional | None | $38.90 | $81.28 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $7.76 Median $16.98 Typical High $91.20 | Professional | None | $7.76 | $16.98 | $91.20 |
Security Health Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $75.86 | Professional | None | $12.30 | $12.30 | $75.86 |
Security Health Setting Professional Modifier None Typical Low $12.30 Median $60.26 Typical High $245.47 | Professional | None | $12.30 | $60.26 | $245.47 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $109.65 | Professional | None | $14.79 | $21.38 | $109.65 |
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 $21.38 Median $21.38 Typical High $81.28 | Professional | 52 · Reduced service | $21.38 | $21.38 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $32.36 | Professional | 53 · Discontinued | $8.51 | $8.51 | $32.36 |
Where Wisconsin sits
The same service costs 5.6 times more in Alaska than in Kentucky. 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
$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.