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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $125.89 | Professional | None | $28.84 | $28.84 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $63.10 Typical High $66.07 | Facility | None | $51.29 | $63.10 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $48.98 Typical High $117.49 | Professional | None | $9.55 | $48.98 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $70.79 Typical High $93.33 | Facility | None | $60.26 | $70.79 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $34.67 Typical High $75.86 | Professional | None | $11.48 | $34.67 | $75.86 |
DeanCare Setting Facility Modifier None Typical Low $28.84 Median $67.61 Typical High $91.20 | Facility | None | $28.84 | $67.61 | $91.20 |
DeanCare Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $158.49 | Professional | None | $144.54 | $144.54 | $158.49 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $28.84 Typical High $47.86 | Facility | None | $18.62 | $28.84 | $47.86 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $77.62 Typical High $120.23 | Professional | None | $15.49 | $77.62 | $120.23 |
Network Health Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $37.15 | Facility | None | $16.22 | $16.22 | $37.15 |
Network Health Setting Professional Modifier None Typical Low $20.42 Median $23.99 Typical High $75.86 | Professional | None | $20.42 | $23.99 | $75.86 |
Prevea360 Setting Facility Modifier None Typical Low $18.62 Median $28.84 Typical High $47.86 | Facility | None | $18.62 | $28.84 | $47.86 |
Quartz Setting Professional Modifier None Typical Low $26.92 Median $54.95 Typical High $79.43 | Professional | None | $26.92 | $54.95 | $79.43 |
Quartz Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $75.86 | Professional | None | $11.22 | $13.49 | $75.86 |
Security Health Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $51.29 | Professional | None | $10.96 | $10.96 | $51.29 |
Security Health Setting Professional Modifier None Typical Low $10.96 Median $131.83 Typical High $169.82 | Professional | None | $10.96 | $131.83 | $169.82 |
United Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
United Setting Professional Modifier None Typical Low $14.45 Median $23.99 Typical High $89.13 | Professional | None | $14.45 | $23.99 | $89.13 |
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 $14.45 Median $14.45 Typical High $63.10 | Professional | 52 · Reduced service | $14.45 | $14.45 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $25.12 | Professional | 53 · Discontinued | $5.75 | $5.75 | $25.12 |
Where Wisconsin sits
The same service costs 8.9 times more in Texas 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
$51.29
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.