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 $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $109.65 | Professional | None | $25.70 | $25.70 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $58.88 Typical High $85.11 | Professional | None | $23.44 | $58.88 | $85.11 |
CareSource Setting Professional Modifier None Typical Low $22.91 Median $24.55 Typical High $30.20 | Professional | None | $22.91 | $24.55 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $77.62 Typical High $117.49 | Facility | None | $69.18 | $77.62 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $48.98 Typical High $141.25 | Professional | None | $23.99 | $48.98 | $141.25 |
DeanCare Setting Facility Modifier None Typical Low $22.91 Median $27.54 Typical High $39.81 | Facility | None | $22.91 | $27.54 | $39.81 |
DeanCare Setting Professional Modifier None Typical Low $44.67 Median $45.71 Typical High $67.61 | Professional | None | $44.67 | $45.71 | $67.61 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $29.51 Typical High $100.00 | Facility | None | $22.91 | $29.51 | $100.00 |
Medica Setting Professional Modifier None Typical Low $22.91 Median $54.95 Typical High $154.88 | Professional | None | $22.91 | $54.95 | $154.88 |
Network Health Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $43.65 | Facility | None | $33.88 | $33.88 | $43.65 |
Network Health Setting Professional Modifier None Typical Low $31.62 Median $47.86 Typical High $63.10 | Professional | None | $31.62 | $47.86 | $63.10 |
Prevea360 Setting Facility Modifier None Typical Low $22.91 Median $27.54 Typical High $39.81 | Facility | None | $22.91 | $27.54 | $39.81 |
Quartz Setting Professional Modifier None Typical Low $26.30 Median $54.95 Typical High $109.65 | Professional | None | $26.30 | $54.95 | $109.65 |
Quartz Setting Professional Modifier None Typical Low $21.88 Median $28.84 Typical High $58.88 | Professional | None | $21.88 | $28.84 | $58.88 |
Security Health Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Security Health Setting Professional Modifier None Typical Low $31.62 Median $44.67 Typical High $87.10 | Professional | None | $31.62 | $44.67 | $87.10 |
The Alliance Setting Professional Modifier None Typical Low $33.88 Median $58.88 Typical High $97.72 | Professional | None | $33.88 | $58.88 | $97.72 |
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 $22.39 Median $45.71 Typical High $85.11 | Professional | None | $22.39 | $45.71 | $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 $12.88 Median $12.88 Typical High $57.54 | Professional | 52 · Reduced service | $12.88 | $12.88 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $22.91 | Professional | 53 · Discontinued | $5.13 | $5.13 | $22.91 |
Where Wisconsin sits
The same service costs 2.8 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· 2nd 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.