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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $1,380.38 | Professional | None | $128.82 | $128.82 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $316.23 Typical High $457.09 | Professional | None | $128.82 | $316.23 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $389.05 Typical High $575.44 | Facility | None | $338.84 | $389.05 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $269.15 Typical High $724.44 | Professional | None | $138.04 | $269.15 | $724.44 |
DeanCare Setting Facility Modifier None Typical Low $31.62 Median $138.04 Typical High $263.03 | Facility | None | $31.62 | $138.04 | $263.03 |
DeanCare Setting Professional Modifier None Typical Low $218.78 Median $223.87 Typical High $331.13 | Professional | None | $218.78 | $223.87 | $331.13 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $138.04 Typical High $263.03 | Facility | None | $31.62 | $138.04 | $263.03 |
Medica Setting Professional Modifier None Typical Low $117.49 Median $288.40 Typical High $501.19 | Professional | None | $117.49 | $288.40 | $501.19 |
Network Health Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Network Health Setting Professional Modifier None Typical Low $138.04 Median $257.04 Typical High $524.81 | Professional | None | $138.04 | $257.04 | $524.81 |
Prevea360 Setting Facility Modifier None Typical Low $31.62 Median $138.04 Typical High $263.03 | Facility | None | $31.62 | $138.04 | $263.03 |
Quartz Setting Professional Modifier None Typical Low $134.90 Median $288.40 Typical High $549.54 | Professional | None | $134.90 | $288.40 | $549.54 |
Quartz Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $275.42 | Professional | None | $123.03 | $141.25 | $275.42 |
Security Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Security Health Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $446.68 | Professional | None | $208.93 | $269.15 | $446.68 |
United Setting Professional Modifier None Typical Low $117.49 Median $251.19 Typical High $512.86 | Professional | None | $117.49 | $251.19 | $512.86 |
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 $64.57 Median $64.57 Typical High $676.08 | Professional | 52 · Reduced service | $64.57 | $64.57 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $275.42 | Professional | 53 · Discontinued | $25.70 | $25.70 | $275.42 |
Where Wisconsin sits
The same service costs 21.4 times more in Alaska than in New York. 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
$282
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.