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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $48.98 Typical High $51.29 | Professional | None | $43.65 | $48.98 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $151.36 | Professional | None | $40.74 | $40.74 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $147.91 Typical High $218.78 | Facility | None | $128.82 | $147.91 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $114.82 | Professional | None | $34.67 | $42.66 | $114.82 |
DeanCare Setting Facility Modifier None Typical Low $43.65 Median $56.23 Typical High $100.00 | Facility | None | $43.65 | $56.23 | $100.00 |
DeanCare Setting Professional Modifier None Typical Low $66.07 Median $87.10 Typical High $125.89 | Professional | None | $66.07 | $87.10 | $125.89 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $69.18 Typical High $151.36 | Facility | None | $52.48 | $69.18 | $151.36 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $43.65 Typical High $257.04 | Professional | None | $27.54 | $43.65 | $257.04 |
Network Health Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $75.86 | Facility | None | $57.54 | $57.54 | $75.86 |
Network Health Setting Professional Modifier None Typical Low $34.67 Median $53.70 Typical High $95.50 | Professional | None | $34.67 | $53.70 | $95.50 |
Prevea360 Setting Facility Modifier None Typical Low $43.65 Median $56.23 Typical High $100.00 | Facility | None | $43.65 | $56.23 | $100.00 |
Quartz Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $117.49 | Professional | None | $48.98 | $61.66 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $57.54 | Professional | None | $34.67 | $34.67 | $57.54 |
Security Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Security Health Setting Professional Modifier None Typical Low $41.69 Median $74.13 Typical High $141.25 | Professional | None | $41.69 | $74.13 | $141.25 |
The Alliance Setting Professional Modifier None Typical Low $66.07 Median $102.33 Typical High $128.82 | Professional | None | $66.07 | $102.33 | $128.82 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $27.54 Median $40.74 Typical High $120.23 | Professional | None | $27.54 | $40.74 | $120.23 |
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 $21.88 Median $24.55 Typical High $25.70 | Professional | 52 · Reduced service | $21.88 | $24.55 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.77 Typical High $10.23 | Professional | 53 · Discontinued | $8.71 | $9.77 | $10.23 |
Where Wisconsin sits
The same service costs 2.9 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· 16th of 51
$48.98
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.