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 $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $39.81 | Professional | None | $13.49 | $13.49 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $5.75 Typical High $48.98 | Professional | None | $4.79 | $5.75 | $48.98 |
CareSource Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $41.69 Typical High $48.98 | Facility | None | $37.15 | $41.69 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $19.05 Typical High $46.77 | Professional | None | $11.48 | $19.05 | $46.77 |
DeanCare Setting Facility Modifier None Typical Low $10.72 Median $20.89 Typical High $38.90 | Facility | None | $10.72 | $20.89 | $38.90 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $20.89 Typical High $38.90 | Facility | None | $10.72 | $20.89 | $38.90 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Network Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $33.88 | Professional | None | $22.91 | $22.91 | $33.88 |
Prevea360 Setting Facility Modifier None Typical Low $10.72 Median $20.89 Typical High $38.90 | Facility | None | $10.72 | $20.89 | $38.90 |
Quartz Setting Professional Modifier None Typical Low $20.89 Median $33.88 Typical High $50.12 | Professional | None | $20.89 | $33.88 | $50.12 |
Quartz Setting Professional Modifier None Typical Low $18.20 Median $19.05 Typical High $22.91 | Professional | None | $18.20 | $19.05 | $22.91 |
6 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 |
|---|---|---|---|---|---|
Security Health Setting Facility Modifier UF · Morning Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | UF · Morning | $223.87 | $223.87 | $223.87 |
Security Health Setting Professional Modifier TS · Follow-up service Typical Low $50.12 Median $50.12 Typical High $58.88 | Professional | TS · Follow-up service | $50.12 | $50.12 | $58.88 |
Security Health Setting Professional Modifier UF · Morning Typical Low $100.00 Median $117.49 Typical High $223.87 | Professional | UF · Morning | $100.00 | $117.49 | $223.87 |
Security Health Setting Professional Modifier UG · Afternoon Typical Low $100.00 Median $117.49 Typical High $223.87 | Professional | UG · Afternoon | $100.00 | $117.49 | $223.87 |
Security Health Setting Professional Modifier UH · Evening Typical Low $100.00 Median $100.00 Typical High $117.49 | Professional | UH · Evening | $100.00 | $100.00 | $117.49 |
Security Health Setting Professional Modifier UJ · Night Typical Low $100.00 Median $100.00 Typical High $117.49 | Professional | UJ · Night | $100.00 | $100.00 | $117.49 |
Where Wisconsin sits
The same service costs 7.6 times more in North Dakota than in Virginia. 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· 42nd of 51
$13.49
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.