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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $1,548.82 | Professional | None | $208.93 | $208.93 | $1,548.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $446.68 Typical High $478.63 | Facility | None | $371.54 | $446.68 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $371.54 Typical High $1,174.90 | Professional | None | $93.33 | $371.54 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $512.86 Typical High $676.08 | Facility | None | $436.52 | $512.86 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $512.86 Typical High $588.84 | Professional | None | $85.11 | $512.86 | $588.84 |
DeanCare Setting Facility Modifier None Typical Low $208.93 Median $1,071.52 Typical High $1,445.44 | Facility | None | $208.93 | $1,071.52 | $1,445.44 |
DeanCare Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,148.15 | Professional | None | $1,047.13 | $1,047.13 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $363.08 | Facility | None | $134.90 | $208.93 | $363.08 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $346.74 Typical High $1,380.38 | Professional | None | $138.04 | $346.74 | $1,380.38 |
Network Health Setting Facility Modifier None Typical Low $208.93 Median $257.04 Typical High $478.63 | Facility | None | $208.93 | $257.04 | $478.63 |
Network Health Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $549.54 | Professional | None | $263.03 | $316.23 | $549.54 |
Prevea360 Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $363.08 | Facility | None | $134.90 | $208.93 | $363.08 |
Quartz Setting Professional Modifier None Typical Low $190.55 Median $407.38 Typical High $602.56 | Professional | None | $190.55 | $407.38 | $602.56 |
Quartz Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $549.54 | Professional | None | $83.18 | $109.65 | $549.54 |
Security Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $371.54 | Professional | None | $169.82 | $169.82 | $371.54 |
Security Health Setting Professional Modifier None Typical Low $169.82 Median $660.69 Typical High $1,202.26 | Professional | None | $169.82 | $660.69 | $1,202.26 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $104.71 Median $190.55 Typical High $758.58 | Professional | None | $104.71 | $190.55 | $758.58 |
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 $104.71 Median $104.71 Typical High $776.25 | Professional | 52 · Reduced service | $104.71 | $104.71 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $309.03 | Professional | 53 · Discontinued | $41.69 | $41.69 | $309.03 |
Where Wisconsin sits
The same service costs 3.7 times more in Kansas than in Illinois. 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
$372
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.