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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $1,023.29 | Professional | None | $109.65 | $109.65 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $234.42 Typical High $562.34 | Professional | None | $104.71 | $234.42 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $316.23 Typical High $467.74 | Facility | None | $275.42 | $316.23 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $194.98 Typical High $331.13 | Professional | None | $112.20 | $194.98 | $331.13 |
DeanCare Setting Facility Modifier None Typical Low $97.72 Median $123.03 Typical High $223.87 | Facility | None | $97.72 | $123.03 | $223.87 |
DeanCare Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $288.40 | Professional | None | $186.21 | $218.78 | $288.40 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $117.49 Typical High $223.87 | Facility | None | $95.50 | $117.49 | $223.87 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $389.05 Typical High $660.69 | Professional | None | $144.54 | $389.05 | $660.69 |
Network Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Network Health Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $263.03 | Professional | None | $77.62 | $107.15 | $263.03 |
Prevea360 Setting Facility Modifier None Typical Low $97.72 Median $123.03 Typical High $223.87 | Facility | None | $97.72 | $123.03 | $223.87 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $204.17 Typical High $281.84 | Professional | None | $117.49 | $204.17 | $281.84 |
Quartz Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $251.19 | Professional | None | $112.20 | $112.20 | $251.19 |
Security Health Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Security Health Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $645.65 | Professional | None | $223.87 | $302.00 | $645.65 |
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 $120.23 Median $223.87 Typical High $446.68 | Professional | None | $120.23 | $223.87 | $446.68 |
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 $54.95 Median $54.95 Typical High $512.86 | Professional | 52 · Reduced service | $54.95 | $54.95 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $204.17 | Professional | 53 · Discontinued | $21.88 | $21.88 | $204.17 |
Where Wisconsin sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 6th of 51
$200
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.