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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $512.86 | Professional | None | $41.69 | $41.69 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $91.20 Typical High $95.50 | Facility | None | $74.13 | $91.20 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $70.79 Typical High $229.09 | Professional | None | $18.20 | $70.79 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $102.33 Typical High $134.90 | Facility | None | $87.10 | $102.33 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $104.71 Typical High $117.49 | Professional | None | $16.60 | $104.71 | $117.49 |
DeanCare Setting Facility Modifier None Typical Low $41.69 Median $204.17 Typical High $275.42 | Facility | None | $41.69 | $204.17 | $275.42 |
DeanCare Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $229.09 | Professional | None | $208.93 | $208.93 | $229.09 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $41.69 Typical High $70.79 | Facility | None | $26.92 | $41.69 | $70.79 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $70.79 Typical High $389.05 | Professional | None | $27.54 | $70.79 | $389.05 |
Network Health Setting Facility Modifier None Typical Low $41.69 Median $50.12 Typical High $91.20 | Facility | None | $41.69 | $50.12 | $91.20 |
Network Health Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $109.65 | Professional | None | $52.48 | $61.66 | $109.65 |
Prevea360 Setting Facility Modifier None Typical Low $26.92 Median $41.69 Typical High $70.79 | Facility | None | $26.92 | $41.69 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $38.90 Median $87.10 Typical High $123.03 | Professional | None | $38.90 | $87.10 | $123.03 |
Quartz Setting Professional Modifier None Typical Low $16.60 Median $21.38 Typical High $109.65 | Professional | None | $16.60 | $21.38 | $109.65 |
Security Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $74.13 | Professional | None | $33.11 | $33.11 | $74.13 |
Security Health Setting Professional Modifier None Typical Low $33.11 Median $128.82 Typical High $245.47 | Professional | None | $33.11 | $128.82 | $245.47 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $20.89 Median $37.15 Typical High $147.91 | Professional | None | $20.89 | $37.15 | $147.91 |
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 $20.89 Median $20.89 Typical High $257.04 | Professional | 52 · Reduced service | $20.89 | $20.89 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $102.33 | Professional | 53 · Discontinued | $8.32 | $8.32 | $102.33 |
Where Wisconsin sits
The same service costs 4.6 times more in Kentucky 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· 5th of 51
$70.79
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.