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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $263.03 | Professional | None | $79.43 | $79.43 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $154.88 Typical High $275.42 | Professional | None | $48.98 | $154.88 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $239.88 Typical High $354.81 | Facility | None | $208.93 | $239.88 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $151.36 Typical High $436.52 | Professional | None | $77.62 | $151.36 | $436.52 |
DeanCare Setting Facility Modifier None Typical Low $70.79 Median $85.11 Typical High $162.18 | Facility | None | $70.79 | $85.11 | $162.18 |
DeanCare Setting Professional Modifier None Typical Low $134.90 Median $138.04 Typical High $204.17 | Professional | None | $134.90 | $138.04 | $204.17 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $85.11 Typical High $162.18 | Facility | None | $70.79 | $85.11 | $162.18 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $102.33 Typical High $257.04 | Professional | None | $44.67 | $102.33 | $257.04 |
Network Health Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Network Health Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $257.04 | Professional | None | $85.11 | $100.00 | $257.04 |
Prevea360 Setting Facility Modifier None Typical Low $70.79 Median $85.11 Typical High $162.18 | Facility | None | $70.79 | $85.11 | $162.18 |
Quartz Setting Professional Modifier None Typical Low $85.11 Median $165.96 Typical High $338.84 | Professional | None | $85.11 | $165.96 | $338.84 |
Quartz Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $141.25 | Professional | None | $61.66 | $87.10 | $141.25 |
Security Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Security Health Setting Professional Modifier None Typical Low $114.82 Median $144.54 Typical High $269.15 | Professional | None | $114.82 | $144.54 | $269.15 |
United Setting Professional Modifier None Typical Low $45.71 Median $102.33 Typical High $229.09 | Professional | None | $45.71 | $102.33 | $229.09 |
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 $39.81 Median $39.81 Typical High $131.83 | Professional | 52 · Reduced service | $39.81 | $39.81 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $53.70 | Professional | 53 · Discontinued | $15.85 | $15.85 | $53.70 |
Where Wisconsin sits
The same service costs 6.6 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· 4th of 51
$135
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.