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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $478.63 | Professional | None | $45.71 | $45.71 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $120.23 Typical High $173.78 | Professional | None | $46.77 | $120.23 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $131.83 Typical High $194.98 | Facility | None | $114.82 | $131.83 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $91.20 Typical High $245.47 | Professional | None | $47.86 | $91.20 | $245.47 |
DeanCare Setting Facility Modifier None Typical Low $40.74 Median $48.98 Typical High $91.20 | Facility | None | $40.74 | $48.98 | $91.20 |
DeanCare Setting Professional Modifier None Typical Low $77.62 Median $79.43 Typical High $117.49 | Professional | None | $77.62 | $79.43 | $117.49 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $51.29 Typical High $100.00 | Facility | None | $40.74 | $51.29 | $100.00 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $112.20 Typical High $199.53 | Professional | None | $46.77 | $112.20 | $199.53 |
Network Health Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Network Health Setting Professional Modifier None Typical Low $48.98 Median $112.20 Typical High $194.98 | Professional | None | $48.98 | $112.20 | $194.98 |
Prevea360 Setting Facility Modifier None Typical Low $40.74 Median $48.98 Typical High $91.20 | Facility | None | $40.74 | $48.98 | $91.20 |
Quartz Setting Professional Modifier None Typical Low $46.77 Median $97.72 Typical High $190.55 | Professional | None | $46.77 | $97.72 | $190.55 |
Quartz Setting Professional Modifier None Typical Low $46.77 Median $50.12 Typical High $102.33 | Professional | None | $46.77 | $50.12 | $102.33 |
Security Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Security Health Setting Professional Modifier None Typical Low $72.44 Median $91.20 Typical High $151.36 | Professional | None | $72.44 | $91.20 | $151.36 |
United Setting Professional Modifier None Typical Low $44.67 Median $85.11 Typical High $173.78 | Professional | None | $44.67 | $85.11 | $173.78 |
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 $22.91 Median $22.91 Typical High $239.88 | Professional | 52 · Reduced service | $22.91 | $22.91 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $95.50 | Professional | 53 · Discontinued | $9.12 | $9.12 | $95.50 |
Where Wisconsin sits
The same service costs 4.4 times more in Alaska than in Missouri. 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
$102
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.