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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $32.36 Typical High $34.67 | Professional | None | $30.90 | $32.36 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $104.71 | Professional | None | $28.84 | $28.84 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $97.72 Typical High $147.91 | Facility | None | $87.10 | $97.72 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $79.43 | Professional | None | $23.44 | $28.18 | $79.43 |
DeanCare Setting Facility Modifier None Typical Low $29.51 Median $37.15 Typical High $67.61 | Facility | None | $29.51 | $37.15 | $67.61 |
DeanCare Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $85.11 | Professional | None | $44.67 | $63.10 | $85.11 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $39.81 Typical High $100.00 | Facility | None | $29.51 | $39.81 | $100.00 |
Medica Setting Professional Modifier None Typical Low $19.05 Median $30.20 Typical High $181.97 | Professional | None | $19.05 | $30.20 | $181.97 |
Network Health Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $56.23 | Facility | None | $40.74 | $40.74 | $56.23 |
Network Health Setting Professional Modifier None Typical Low $23.44 Median $38.02 Typical High $67.61 | Professional | None | $23.44 | $38.02 | $67.61 |
Prevea360 Setting Facility Modifier None Typical Low $29.51 Median $37.15 Typical High $67.61 | Facility | None | $29.51 | $37.15 | $67.61 |
Quartz Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $79.43 | Professional | None | $32.36 | $40.74 | $79.43 |
Quartz Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $38.02 | Professional | None | $23.44 | $23.44 | $38.02 |
Security Health Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Security Health Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $97.72 | Professional | None | $44.67 | $53.70 | $97.72 |
The Alliance Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
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 $19.05 Median $29.51 Typical High $85.11 | Professional | None | $19.05 | $29.51 | $85.11 |
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 $15.49 Median $16.22 Typical High $17.38 | Professional | 52 · Reduced service | $15.49 | $16.22 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.61 Typical High $6.92 | Professional | 53 · Discontinued | $6.17 | $6.61 | $6.92 |
Where Wisconsin sits
The same service costs 3.3 times more in Alaska than in South Carolina. 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· 18th of 51
$32.36
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.