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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $51.29 Typical High $56.23 | Professional | None | $48.98 | $51.29 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $165.96 | Professional | None | $45.71 | $45.71 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $154.88 Typical High $234.42 | Facility | None | $138.04 | $154.88 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $44.67 Typical High $125.89 | Professional | None | $37.15 | $44.67 | $125.89 |
DeanCare Setting Facility Modifier None Typical Low $45.71 Median $58.88 Typical High $104.71 | Facility | None | $45.71 | $58.88 | $104.71 |
DeanCare Setting Professional Modifier None Typical Low $69.18 Median $102.33 Typical High $134.90 | Professional | None | $69.18 | $102.33 | $134.90 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $63.10 Typical High $794.33 | Facility | None | $45.71 | $63.10 | $794.33 |
Medica Setting Professional Modifier None Typical Low $26.92 Median $51.29 Typical High $295.12 | Professional | None | $26.92 | $51.29 | $295.12 |
Network Health Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $97.72 | Facility | None | $67.61 | $67.61 | $97.72 |
Network Health Setting Professional Modifier None Typical Low $34.67 Median $61.66 Typical High $114.82 | Professional | None | $34.67 | $61.66 | $114.82 |
Prevea360 Setting Facility Modifier None Typical Low $45.71 Median $58.88 Typical High $104.71 | Facility | None | $45.71 | $58.88 | $104.71 |
Quartz Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $134.90 | Professional | None | $51.29 | $61.66 | $134.90 |
Quartz Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $60.26 | Professional | None | $37.15 | $37.15 | $60.26 |
Security Health Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Security Health Setting Professional Modifier None Typical Low $12.59 Median $91.20 Typical High $151.36 | Professional | None | $12.59 | $91.20 | $151.36 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
United Setting Professional Modifier None Typical Low $29.51 Median $46.77 Typical High $141.25 | Professional | None | $29.51 | $46.77 | $141.25 |
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 $24.55 Median $25.70 Typical High $26.92 | Professional | 52 · Reduced service | $24.55 | $25.70 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.23 Typical High $10.72 | Professional | 53 · Discontinued | $9.77 | $10.23 | $10.72 |
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· 19th of 51
$51.29
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.