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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $1,698.24 | Professional | None | $181.97 | $181.97 | $1,698.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $389.05 Typical High $416.87 | Facility | None | $323.59 | $389.05 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $331.13 Typical High $1,071.52 | Professional | None | $85.11 | $331.13 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $436.52 Typical High $575.44 | Facility | None | $380.19 | $436.52 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $446.68 Typical High $512.86 | Professional | None | $75.86 | $446.68 | $512.86 |
DeanCare Setting Facility Modifier None Typical Low $181.97 Median $954.99 Typical High $1,288.25 | Facility | None | $181.97 | $954.99 | $1,288.25 |
DeanCare Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,000.00 | Professional | None | $891.25 | $891.25 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $181.97 Typical High $331.13 | Facility | None | $114.82 | $181.97 | $331.13 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $316.23 Typical High $1,258.93 | Professional | None | $125.89 | $316.23 | $1,258.93 |
Network Health Setting Facility Modifier None Typical Low $181.97 Median $234.42 Typical High $426.58 | Facility | None | $181.97 | $234.42 | $426.58 |
Network Health Setting Professional Modifier None Typical Low $223.87 Median $288.40 Typical High $478.63 | Professional | None | $223.87 | $288.40 | $478.63 |
Prevea360 Setting Facility Modifier None Typical Low $114.82 Median $181.97 Typical High $331.13 | Facility | None | $114.82 | $181.97 | $331.13 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $380.19 Typical High $691.83 | Professional | None | $165.96 | $380.19 | $691.83 |
Quartz Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $478.63 | Professional | None | $72.44 | $100.00 | $478.63 |
Security Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $323.59 | Professional | None | $154.88 | $154.88 | $323.59 |
Security Health Setting Professional Modifier None Typical Low $154.88 Median $812.83 Typical High $1,047.13 | Professional | None | $154.88 | $812.83 | $1,047.13 |
United Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $91.20 Median $173.78 Typical High $691.83 | Professional | None | $91.20 | $173.78 | $691.83 |
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 $91.20 Median $91.20 Typical High $870.96 | Professional | 52 · Reduced service | $91.20 | $91.20 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $346.74 | Professional | 53 · Discontinued | $36.31 | $36.31 | $346.74 |
Where Wisconsin sits
The same service costs 2.9 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
$331
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.