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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $154.88 | Professional | None | $21.88 | $21.88 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $47.86 Typical High $51.29 | Facility | None | $39.81 | $47.86 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $36.31 Typical High $87.10 | Professional | None | $6.03 | $36.31 | $87.10 |
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 $52.48 Typical High $239.88 | Professional | None | $8.71 | $52.48 | $239.88 |
DeanCare Setting Facility Modifier None Typical Low $21.88 Median $67.61 Typical High $91.20 | Facility | None | $21.88 | $67.61 | $91.20 |
DeanCare Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | None | $109.65 | $109.65 | $120.23 |
Medica Setting Facility Modifier None Typical Low $13.18 Median $21.88 Typical High $36.31 | Facility | None | $13.18 | $21.88 | $36.31 |
Medica Setting Professional Modifier None Typical Low $12.88 Median $46.77 Typical High $91.20 | Professional | None | $12.88 | $46.77 | $91.20 |
Network Health Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $30.20 | Facility | None | $16.22 | $16.22 | $30.20 |
Network Health Setting Professional Modifier None Typical Low $19.05 Median $20.42 Typical High $54.95 | Professional | None | $19.05 | $20.42 | $54.95 |
Prevea360 Setting Facility Modifier None Typical Low $13.18 Median $21.88 Typical High $36.31 | Facility | None | $13.18 | $21.88 | $36.31 |
Quartz Setting Professional Modifier None Typical Low $19.95 Median $41.69 Typical High $53.70 | Professional | None | $19.95 | $41.69 | $53.70 |
Quartz Setting Professional Modifier None Typical Low $7.41 Median $28.18 Typical High $239.88 | Professional | None | $7.41 | $28.18 | $239.88 |
Security Health Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $33.88 | Professional | None | $15.49 | $15.49 | $33.88 |
Security Health Setting Professional Modifier None Typical Low $15.49 Median $93.33 Typical High $109.65 | Professional | None | $15.49 | $93.33 | $109.65 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $9.33 Median $15.49 Typical High $54.95 | Professional | None | $9.33 | $15.49 | $54.95 |
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 $10.96 Median $10.96 Typical High $77.62 | Professional | 52 · Reduced service | $10.96 | $10.96 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $30.90 | Professional | 53 · Discontinued | $4.37 | $4.37 | $30.90 |
Where Wisconsin sits
The same service costs 4.9 times more in Alaska 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· 2nd of 51
$41.69
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.