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 $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $107.15 | Professional | None | $7.08 | $7.08 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $15.14 Typical High $16.22 | Facility | None | $12.59 | $15.14 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $9.77 Typical High $31.62 | Professional | None | $2.34 | $9.77 | $31.62 |
CareSource Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Facility | None | $3.63 | $3.63 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $16.98 Typical High $22.39 | Facility | None | $14.45 | $16.98 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $10.00 Typical High $18.20 | Professional | None | $2.82 | $10.00 | $18.20 |
DeanCare Setting Facility Modifier None Typical Low $3.89 Median $21.38 Typical High $33.11 | Facility | None | $3.89 | $21.38 | $33.11 |
Medica Setting Facility Modifier None Typical Low $3.89 Median $5.50 Typical High $100.00 | Facility | None | $3.89 | $5.50 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.39 Median $5.89 Typical High $16.22 | Professional | None | $3.39 | $5.89 | $16.22 |
Network Health Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $12.30 | Facility | None | $6.61 | $6.61 | $12.30 |
Network Health Setting Professional Modifier None Typical Low $4.37 Median $6.03 Typical High $16.60 | Professional | None | $4.37 | $6.03 | $16.60 |
Prevea360 Setting Facility Modifier None Typical Low $3.89 Median $4.79 Typical High $7.59 | Facility | None | $3.89 | $4.79 | $7.59 |
Quartz Setting Professional Modifier None Typical Low $6.61 Median $14.13 Typical High $20.89 | Professional | None | $6.61 | $14.13 | $20.89 |
Quartz Setting Professional Modifier None Typical Low $2.75 Median $2.82 Typical High $15.14 | Professional | None | $2.75 | $2.82 | $15.14 |
Security Health Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $12.59 | Professional | None | $8.32 | $8.32 | $12.59 |
Security Health Setting Professional Modifier None Typical Low $8.32 Median $26.92 Typical High $40.74 | Professional | None | $8.32 | $26.92 | $40.74 |
United Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $15.14 | Facility | None | $7.08 | $7.08 | $15.14 |
United Setting Professional Modifier None Typical Low $2.95 Median $4.68 Typical High $18.20 | Professional | None | $2.95 | $4.68 | $18.20 |
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 $3.55 Median $3.55 Typical High $53.70 | Professional | 52 · Reduced service | $3.55 | $3.55 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.41 Typical High $21.38 | Professional | 53 · Discontinued | $1.41 | $1.41 | $21.38 |
Where Wisconsin sits
The same service costs 3.9 times more in Kansas than in Vermont. 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· 6th of 51
$8.32
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.