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 $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $67.61 | Professional | None | $6.92 | $6.92 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $15.14 Typical High $15.85 | Facility | None | $12.59 | $15.14 | $15.85 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $9.77 Typical High $28.18 | Professional | None | $2.34 | $9.77 | $28.18 |
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 $3.09 Median $10.00 Typical High $19.95 | Professional | None | $3.09 | $10.00 | $19.95 |
DeanCare Setting Facility Modifier None Typical Low $4.27 Median $23.44 Typical High $36.31 | Facility | None | $4.27 | $23.44 | $36.31 |
Medica Setting Facility Modifier None Typical Low $4.27 Median $5.50 Typical High $100.00 | Facility | None | $4.27 | $5.50 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.47 Median $6.46 Typical High $15.49 | Professional | None | $3.47 | $6.46 | $15.49 |
Network Health Setting Facility Modifier None Typical Low $6.92 Median $7.41 Typical High $13.49 | Facility | None | $6.92 | $7.41 | $13.49 |
Network Health Setting Professional Modifier None Typical Low $4.37 Median $5.89 Typical High $16.22 | Professional | None | $4.37 | $5.89 | $16.22 |
Prevea360 Setting Facility Modifier None Typical Low $4.27 Median $4.79 Typical High $7.41 | Facility | None | $4.27 | $4.79 | $7.41 |
Quartz Setting Professional Modifier None Typical Low $6.31 Median $13.49 Typical High $19.95 | Professional | None | $6.31 | $13.49 | $19.95 |
Quartz Setting Professional Modifier None Typical Low $2.82 Median $3.09 Typical High $15.14 | Professional | None | $2.82 | $3.09 | $15.14 |
Security Health Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $13.80 | Professional | None | $12.30 | $12.30 | $13.80 |
Security Health Setting Professional Modifier None Typical Low $13.80 Median $19.05 Typical High $40.74 | Professional | None | $13.80 | $19.05 | $40.74 |
United Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $13.49 | Facility | None | $6.92 | $6.92 | $13.49 |
United Setting Professional Modifier None Typical Low $3.39 Median $5.75 Typical High $18.20 | Professional | None | $3.39 | $5.75 | $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 $3.47 Median $3.47 Typical High $33.88 | Professional | 52 · Reduced service | $3.47 | $3.47 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.38 Typical High $13.49 | Professional | 53 · Discontinued | $1.38 | $1.38 | $13.49 |
Where Wisconsin sits
The same service costs 3.9 times more in Kansas 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· 4th of 51
$8.51
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.