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 $169.82 Median $169.82 Typical High $194.98 | Facility | None | $169.82 | $169.82 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $1,258.93 | Professional | None | $169.82 | $169.82 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $363.08 Typical High $389.05 | Facility | None | $302.00 | $363.08 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $288.40 Typical High $691.83 | Professional | None | $79.43 | $288.40 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $537.03 | Facility | None | $354.81 | $416.87 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $371.54 Typical High $446.68 | Professional | None | $67.61 | $371.54 | $446.68 |
DeanCare Setting Facility Modifier None Typical Low $169.82 Median $316.23 Typical High $426.58 | Facility | None | $169.82 | $316.23 | $426.58 |
DeanCare Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $933.25 | Professional | None | $851.14 | $851.14 | $933.25 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $169.82 Typical High $281.84 | Facility | None | $107.15 | $169.82 | $281.84 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $457.09 Typical High $1,148.15 | Professional | None | $112.20 | $457.09 | $1,148.15 |
Network Health Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $218.78 | Facility | None | $77.62 | $77.62 | $218.78 |
Network Health Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $446.68 | Professional | None | $95.50 | $141.25 | $446.68 |
Prevea360 Setting Facility Modifier None Typical Low $107.15 Median $169.82 Typical High $309.03 | Facility | None | $107.15 | $169.82 | $309.03 |
Quartz Setting Professional Modifier None Typical Low $154.88 Median $323.59 Typical High $457.09 | Professional | None | $154.88 | $323.59 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $67.61 Median $181.97 Typical High $446.68 | Professional | None | $67.61 | $181.97 | $446.68 |
Security Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $302.00 | Professional | None | $18.62 | $18.62 | $302.00 |
Security Health Setting Professional Modifier None Typical Low $18.62 Median $776.25 Typical High $977.24 | Professional | None | $18.62 | $776.25 | $977.24 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
United Setting Professional Modifier None Typical Low $91.20 Median $154.88 Typical High $645.65 | Professional | None | $91.20 | $154.88 | $645.65 |
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 $85.11 Median $85.11 Typical High $630.96 | Professional | 52 · Reduced service | $85.11 | $85.11 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $251.19 | Professional | 53 · Discontinued | $33.88 | $33.88 | $251.19 |
Where Wisconsin sits
The same service costs 6.0 times more in Alaska than in Alabama. 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
$295
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.