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 $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $331.13 | Professional | None | $12.59 | $12.59 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $28.84 | Facility | None | $22.39 | $26.92 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.90 Median $17.38 Typical High $47.86 | Professional | None | $4.90 | $17.38 | $47.86 |
CareSource Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $30.20 Typical High $39.81 | Facility | None | $26.30 | $30.20 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $17.78 Typical High $32.36 | Professional | None | $6.46 | $17.78 | $32.36 |
DeanCare Setting Facility Modifier None Typical Low $5.50 Median $27.54 Typical High $42.66 | Facility | None | $5.50 | $27.54 | $42.66 |
Medica Setting Facility Modifier None Typical Low $5.50 Median $9.77 Typical High $151.36 | Facility | None | $5.50 | $9.77 | $151.36 |
Medica Setting Professional Modifier None Typical Low $4.57 Median $10.47 Typical High $32.36 | Professional | None | $4.57 | $10.47 | $32.36 |
Network Health Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $15.85 | Facility | None | $8.51 | $8.51 | $15.85 |
Network Health Setting Professional Modifier None Typical Low $7.76 Median $10.47 Typical High $29.51 | Professional | None | $7.76 | $10.47 | $29.51 |
Prevea360 Setting Facility Modifier None Typical Low $5.50 Median $8.51 Typical High $13.18 | Facility | None | $5.50 | $8.51 | $13.18 |
Quartz Setting Professional Modifier None Typical Low $11.48 Median $24.55 Typical High $41.69 | Professional | None | $11.48 | $24.55 | $41.69 |
Quartz Setting Professional Modifier None Typical Low $4.90 Median $6.46 Typical High $26.92 | Professional | None | $4.90 | $6.46 | $26.92 |
Security Health Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Security Health Setting Professional Modifier None Typical Low $10.96 Median $16.60 Typical High $72.44 | Professional | None | $10.96 | $16.60 | $72.44 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
United Setting Professional Modifier None Typical Low $4.37 Median $8.32 Typical High $38.02 | Professional | None | $4.37 | $8.32 | $38.02 |
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 $6.17 Median $6.17 Typical High $165.96 | Professional | 52 · Reduced service | $6.17 | $6.17 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $66.07 | Professional | 53 · Discontinued | $2.51 | $2.51 | $66.07 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in Nebraska. 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· 9th of 51
$14.13
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.