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 $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $199.53 | Professional | None | $21.38 | $21.38 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $46.77 Typical High $48.98 | Facility | None | $38.90 | $46.77 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $38.90 Typical High $125.89 | Professional | None | $8.91 | $38.90 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $52.48 Typical High $69.18 | Facility | None | $44.67 | $52.48 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $38.90 Typical High $57.54 | Professional | None | $8.71 | $38.90 | $57.54 |
DeanCare Setting Facility Modifier None Typical Low $21.38 Median $95.50 Typical High $128.82 | Facility | None | $21.38 | $95.50 | $128.82 |
DeanCare Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | None | $107.15 | $107.15 | $120.23 |
Medica Setting Facility Modifier None Typical Low $13.80 Median $21.38 Typical High $38.90 | Facility | None | $13.80 | $21.38 | $38.90 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $58.88 Typical High $134.90 | Professional | None | $14.45 | $58.88 | $134.90 |
Network Health Setting Facility Modifier None Typical Low $21.38 Median $23.44 Typical High $42.66 | Facility | None | $21.38 | $23.44 | $42.66 |
Network Health Setting Professional Modifier None Typical Low $26.92 Median $28.84 Typical High $57.54 | Professional | None | $26.92 | $28.84 | $57.54 |
Prevea360 Setting Facility Modifier None Typical Low $13.80 Median $21.38 Typical High $38.90 | Facility | None | $13.80 | $21.38 | $38.90 |
Quartz Setting Professional Modifier None Typical Low $19.95 Median $41.69 Typical High $81.28 | Professional | None | $19.95 | $41.69 | $81.28 |
Quartz Setting Professional Modifier None Typical Low $8.71 Median $19.05 Typical High $57.54 | Professional | None | $8.71 | $19.05 | $57.54 |
Security Health Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $38.02 | Professional | None | $15.49 | $15.49 | $38.02 |
Security Health Setting Professional Modifier None Typical Low $15.49 Median $97.72 Typical High $125.89 | Professional | None | $15.49 | $97.72 | $125.89 |
United Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $11.75 Median $20.89 Typical High $83.18 | Professional | None | $11.75 | $20.89 | $83.18 |
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 $10.72 Median $10.72 Typical High $100.00 | Professional | 52 · Reduced service | $10.72 | $10.72 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $39.81 | Professional | 53 · Discontinued | $4.37 | $4.37 | $39.81 |
Where Wisconsin sits
The same service costs 10.2 times more in Texas than in New Jersey. 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
$42.66
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.