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 $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.79 Typical High $436.52 | Professional | None | $14.13 | $14.79 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $32.36 Typical High $33.88 | Facility | None | $26.30 | $32.36 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $20.42 Typical High $67.61 | Professional | None | $5.89 | $20.42 | $67.61 |
CareSource Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $35.48 Typical High $46.77 | Facility | None | $30.90 | $35.48 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $20.89 Typical High $42.66 | Professional | None | $7.94 | $20.89 | $42.66 |
DeanCare Setting Facility Modifier None Typical Low $10.72 Median $60.26 Typical High $93.33 | Facility | None | $10.72 | $60.26 | $93.33 |
Medica Setting Facility Modifier None Typical Low $9.77 Median $12.30 Typical High $131.83 | Facility | None | $9.77 | $12.30 | $131.83 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $14.79 Typical High $39.81 | Professional | None | $7.41 | $14.79 | $39.81 |
Network Health Setting Facility Modifier None Typical Low $14.79 Median $18.62 Typical High $34.67 | Facility | None | $14.79 | $18.62 | $34.67 |
Network Health Setting Professional Modifier None Typical Low $9.33 Median $12.59 Typical High $34.67 | Professional | None | $9.33 | $12.59 | $34.67 |
Prevea360 Setting Facility Modifier None Typical Low $9.77 Median $10.96 Typical High $15.85 | Facility | None | $9.77 | $10.96 | $15.85 |
Quartz Setting Professional Modifier None Typical Low $13.80 Median $29.51 Typical High $46.77 | Professional | None | $13.80 | $29.51 | $46.77 |
Quartz Setting Professional Modifier None Typical Low $5.89 Median $7.94 Typical High $32.36 | Professional | None | $5.89 | $7.94 | $32.36 |
Security Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $87.10 | Professional | None | $16.98 | $16.98 | $87.10 |
Security Health Setting Professional Modifier None Typical Low $26.30 Median $85.11 Typical High $87.10 | Professional | None | $26.30 | $85.11 | $87.10 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $60.26 | Facility | None | $14.79 | $14.79 | $60.26 |
United Setting Professional Modifier None Typical Low $7.41 Median $12.30 Typical High $45.71 | Professional | None | $7.41 | $12.30 | $45.71 |
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 $7.41 Median $7.41 Typical High $218.78 | Professional | 52 · Reduced service | $7.41 | $7.41 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $87.10 | Professional | 53 · Discontinued | $2.95 | $2.95 | $87.10 |
Where Wisconsin sits
The same service costs 3.5 times more in Kansas than in Georgia. 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· 8th of 51
$18.20
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.