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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $39.81 | Professional | None | $33.88 | $37.15 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $114.82 | Professional | None | $31.62 | $31.62 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $112.20 Typical High $165.96 | Facility | None | $97.72 | $112.20 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $32.36 Typical High $89.13 | Professional | None | $26.30 | $32.36 | $89.13 |
DeanCare Setting Facility Modifier None Typical Low $33.11 Median $41.69 Typical High $75.86 | Facility | None | $33.11 | $41.69 | $75.86 |
DeanCare Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $95.50 | Professional | None | $50.12 | $70.79 | $95.50 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $43.65 Typical High $100.00 | Facility | None | $33.11 | $43.65 | $100.00 |
Medica Setting Professional Modifier None Typical Low $21.38 Median $34.67 Typical High $204.17 | Professional | None | $21.38 | $34.67 | $204.17 |
Network Health Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $66.07 | Facility | None | $45.71 | $45.71 | $66.07 |
Network Health Setting Professional Modifier None Typical Low $26.30 Median $42.66 Typical High $77.62 | Professional | None | $26.30 | $42.66 | $77.62 |
Prevea360 Setting Facility Modifier None Typical Low $33.11 Median $41.69 Typical High $75.86 | Facility | None | $33.11 | $41.69 | $75.86 |
Quartz Setting Professional Modifier None Typical Low $38.02 Median $45.71 Typical High $91.20 | Professional | None | $38.02 | $45.71 | $91.20 |
Quartz Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $42.66 | Professional | None | $26.30 | $26.30 | $42.66 |
Security Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Security Health Setting Professional Modifier None Typical Low $12.59 Median $60.26 Typical High $109.65 | Professional | None | $12.59 | $60.26 | $109.65 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $23.44 Median $33.88 Typical High $97.72 | Professional | None | $23.44 | $33.88 | $97.72 |
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 $16.98 Median $18.62 Typical High $19.50 | Professional | 52 · Reduced service | $16.98 | $18.62 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.41 Typical High $7.76 | Professional | 53 · Discontinued | $6.92 | $7.41 | $7.76 |
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
$37.15
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.