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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $363.08 | Professional | None | $14.45 | $14.45 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $31.62 Typical High $33.11 | Facility | None | $25.70 | $31.62 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $21.38 Typical High $58.88 | Professional | None | $5.75 | $21.38 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $34.67 Typical High $45.71 | Facility | None | $29.51 | $34.67 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $36.31 Typical High $40.74 | Professional | None | $5.75 | $36.31 | $40.74 |
DeanCare Setting Facility Modifier None Typical Low $14.45 Median $44.67 Typical High $60.26 | Facility | None | $14.45 | $44.67 | $60.26 |
DeanCare Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $81.28 | Professional | None | $72.44 | $72.44 | $81.28 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $14.45 Typical High $23.99 | Facility | None | $9.33 | $14.45 | $23.99 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $18.20 Typical High $426.58 | Professional | None | $9.55 | $18.20 | $426.58 |
Network Health Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $19.95 | Facility | None | $10.72 | $10.72 | $19.95 |
Network Health Setting Professional Modifier None Typical Low $12.59 Median $13.49 Typical High $38.02 | Professional | None | $12.59 | $13.49 | $38.02 |
Prevea360 Setting Facility Modifier None Typical Low $9.33 Median $14.45 Typical High $23.99 | Facility | None | $9.33 | $14.45 | $23.99 |
Quartz Setting Professional Modifier None Typical Low $13.49 Median $30.20 Typical High $42.66 | Professional | None | $13.49 | $30.20 | $42.66 |
Quartz Setting Professional Modifier None Typical Low $5.75 Median $6.76 Typical High $38.90 | Professional | None | $5.75 | $6.76 | $38.90 |
Security Health Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $25.70 | Professional | None | $7.24 | $7.24 | $25.70 |
Security Health Setting Professional Modifier None Typical Low $7.24 Median $35.48 Typical High $85.11 | Professional | None | $7.24 | $35.48 | $85.11 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
United Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $46.77 | Professional | None | $7.24 | $12.02 | $46.77 |
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 $7.24 Median $7.24 Typical High $181.97 | Professional | 52 · Reduced service | $7.24 | $7.24 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $72.44 | Professional | 53 · Discontinued | $2.88 | $2.88 | $72.44 |
Where Wisconsin sits
The same service costs 3.2 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
$22.39
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.