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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $190.55 | Professional | None | $32.36 | $32.36 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $69.18 Typical High $74.13 | Facility | None | $57.54 | $69.18 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $53.70 Typical High $134.90 | Professional | None | $10.72 | $53.70 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $79.43 Typical High $104.71 | Facility | None | $67.61 | $79.43 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $81.28 Typical High $91.20 | Professional | None | $12.88 | $81.28 | $91.20 |
DeanCare Setting Facility Modifier None Typical Low $32.36 Median $120.23 Typical High $162.18 | Facility | None | $32.36 | $120.23 | $162.18 |
DeanCare Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $177.83 | Professional | None | $162.18 | $162.18 | $177.83 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $32.36 Typical High $53.70 | Facility | None | $20.89 | $32.36 | $53.70 |
Medica Setting Professional Modifier None Typical Low $21.38 Median $41.69 Typical High $363.08 | Professional | None | $21.38 | $41.69 | $363.08 |
Network Health Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $53.70 | Facility | None | $29.51 | $29.51 | $53.70 |
Network Health Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $85.11 | Professional | None | $33.88 | $36.31 | $85.11 |
Prevea360 Setting Facility Modifier None Typical Low $20.89 Median $32.36 Typical High $53.70 | Facility | None | $20.89 | $32.36 | $53.70 |
Quartz Setting Professional Modifier None Typical Low $30.20 Median $63.10 Typical High $93.33 | Professional | None | $30.20 | $63.10 | $93.33 |
Quartz Setting Professional Modifier None Typical Low $12.59 Median $13.80 Typical High $85.11 | Professional | None | $12.59 | $13.80 | $85.11 |
Security Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $57.54 | Professional | None | $38.02 | $38.02 | $57.54 |
Security Health Setting Professional Modifier None Typical Low $38.02 Median $77.62 Typical High $186.21 | Professional | None | $38.02 | $77.62 | $186.21 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $16.22 Median $26.92 Typical High $100.00 | Professional | None | $16.22 | $26.92 | $100.00 |
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 $16.22 Median $16.22 Typical High $95.50 | Professional | 52 · Reduced service | $16.22 | $16.22 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $38.02 | Professional | 53 · Discontinued | $6.46 | $6.46 | $38.02 |
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
$48.98
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.