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 $51.29 Median $66.07 Typical High $77.62 | Facility | None | $51.29 | $66.07 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $77.62 | Professional | None | $51.29 | $66.07 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $208.93 | Professional | None | $63.10 | $66.07 | $208.93 |
CareSource Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $107.15 | Professional | None | $69.18 | $100.00 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $245.47 Typical High $371.54 | Facility | None | $218.78 | $245.47 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $87.10 Typical High $123.03 | Professional | None | $41.69 | $87.10 | $123.03 |
DeanCare Setting Facility Modifier None Typical Low $67.61 Median $87.10 Typical High $147.91 | Facility | None | $67.61 | $87.10 | $147.91 |
DeanCare Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $120.23 | Professional | None | $91.20 | $104.71 | $120.23 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $93.33 Typical High $407.38 | Facility | None | $67.61 | $93.33 | $407.38 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $489.78 | Professional | None | $61.66 | $79.43 | $489.78 |
Network Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $102.33 | Facility | None | $100.00 | $100.00 | $102.33 |
Network Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $93.33 | Professional | None | $61.66 | $61.66 | $93.33 |
Prevea360 Setting Facility Modifier None Typical Low $67.61 Median $87.10 Typical High $147.91 | Facility | None | $67.61 | $87.10 | $147.91 |
Prevea360 Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Quartz Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $181.97 | Professional | None | $77.62 | $112.20 | $181.97 |
Quartz Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $85.11 | Professional | None | $41.69 | $46.77 | $85.11 |
Security Health Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | None | $97.72 | $97.72 | $109.65 |
Security Health Setting Professional Modifier None Typical Low $72.44 Median $117.49 Typical High $269.15 | Professional | None | $72.44 | $117.49 | $269.15 |
The Alliance Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $112.20 | Professional | None | $54.95 | $67.61 | $112.20 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $58.88 Median $61.66 Typical High $138.04 | Professional | None | $58.88 | $61.66 | $138.04 |
1 more rate 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 AF · Specialist physician Typical Low $70.79 Median $85.11 Typical High $114.82 | Professional | AF · Specialist physician | $70.79 | $85.11 | $114.82 |
Where Wisconsin sits
The same service costs 1.9 times more in North Dakota than in Kentucky. 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· 21st of 51
$67.61
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.