How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $50.12 Typical High $52.48 | Professional | None | $43.65 | $50.12 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $154.88 | Professional | None | $41.69 | $41.69 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $151.36 Typical High $223.87 | Facility | None | $134.90 | $151.36 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $43.65 Typical High $117.49 | Professional | None | $35.48 | $43.65 | $117.49 |
DeanCare Setting Facility Modifier None Typical Low $44.67 Median $57.54 Typical High $102.33 | Facility | None | $44.67 | $57.54 | $102.33 |
DeanCare Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $131.83 | Professional | None | $67.61 | $87.10 | $131.83 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $57.54 Typical High $398.11 | Facility | None | $44.67 | $57.54 | $398.11 |
Medica Setting Professional Modifier None Typical Low $29.51 Median $44.67 Typical High $257.04 | Professional | None | $29.51 | $44.67 | $257.04 |
Network Health Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $77.62 | Facility | None | $57.54 | $57.54 | $77.62 |
Network Health Setting Professional Modifier None Typical Low $35.48 Median $56.23 Typical High $93.33 | Professional | None | $35.48 | $56.23 | $93.33 |
Prevea360 Setting Facility Modifier None Typical Low $44.67 Median $57.54 Typical High $102.33 | Facility | None | $44.67 | $57.54 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $125.89 | Professional | None | $51.29 | $64.57 | $125.89 |
Quartz Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $58.88 | Professional | None | $35.48 | $35.48 | $58.88 |
Security Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Security Health Setting Professional Modifier None Typical Low $41.69 Median $72.44 Typical High $144.54 | Professional | None | $41.69 | $72.44 | $144.54 |
The Alliance Setting Professional Modifier None Typical Low $69.18 Median $102.33 Typical High $141.25 | Professional | None | $69.18 | $102.33 | $141.25 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $30.20 Median $41.69 Typical High $123.03 | Professional | None | $30.20 | $41.69 | $123.03 |
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 $22.39 Median $25.12 Typical High $26.30 | Professional | 52 · Reduced service | $22.39 | $25.12 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.00 Typical High $10.47 | Professional | 53 · Discontinued | $8.91 | $10.00 | $10.47 |
Where Wisconsin sits
The same service costs 2.6 times more in Alaska 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· 15th of 51
$50.12
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.