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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $346.74 | Professional | None | $107.15 | $120.23 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $257.04 Typical High $407.38 | Professional | None | $117.49 | $257.04 | $407.38 |
CareSource Setting Professional Modifier None Typical Low $107.15 Median $114.82 Typical High $141.25 | Professional | None | $107.15 | $114.82 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $371.54 Typical High $549.54 | Facility | None | $323.59 | $371.54 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $213.80 Typical High $676.08 | Professional | None | $107.15 | $213.80 | $676.08 |
DeanCare Setting Facility Modifier None Typical Low $22.91 Median $128.82 Typical High $213.80 | Facility | None | $22.91 | $128.82 | $213.80 |
DeanCare Setting Professional Modifier None Typical Low $208.93 Median $213.80 Typical High $316.23 | Professional | None | $208.93 | $213.80 | $316.23 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $138.04 Typical High $251.19 | Facility | None | $22.91 | $138.04 | $251.19 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $239.88 Typical High $758.58 | Professional | None | $75.86 | $239.88 | $758.58 |
Network Health Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $177.83 | Facility | None | $151.36 | $151.36 | $177.83 |
Network Health Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $302.00 | Professional | None | $138.04 | $165.96 | $302.00 |
Prevea360 Setting Facility Modifier None Typical Low $22.91 Median $128.82 Typical High $213.80 | Facility | None | $22.91 | $128.82 | $213.80 |
Quartz Setting Professional Modifier None Typical Low $128.82 Median $269.15 Typical High $512.86 | Professional | None | $128.82 | $269.15 | $512.86 |
Quartz Setting Professional Modifier None Typical Low $83.18 Median $134.90 Typical High $239.88 | Professional | None | $83.18 | $134.90 | $239.88 |
Security Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Security Health Setting Professional Modifier None Typical Low $107.15 Median $229.09 Typical High $416.87 | Professional | None | $107.15 | $229.09 | $416.87 |
The Alliance Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $489.78 | Professional | None | $194.98 | $269.15 | $489.78 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $87.10 Median $213.80 Typical High $467.74 | Professional | None | $87.10 | $213.80 | $467.74 |
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 $60.26 Median $60.26 Typical High $173.78 | Professional | 52 · Reduced service | $60.26 | $60.26 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $69.18 | Professional | 53 · Discontinued | $23.99 | $23.99 | $69.18 |
Where Wisconsin sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 3rd of 51
$224
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.