How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $0.14 Median $0.14 Typical High $0.37 | Facility | None | $0.14 | $0.14 | $0.37 |
Aetna Setting Professional Modifier None Typical Low $0.14 Median $0.37 Typical High $1.00 | Professional | None | $0.14 | $0.37 | $1.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.52 Median $0.56 Typical High $0.85 | Facility | None | $0.52 | $0.56 | $0.85 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.21 Median $0.52 Typical High $0.65 | Professional | None | $0.21 | $0.52 | $0.65 |
Cigna Setting Facility Modifier None Typical Low $0.31 Median $1.82 Typical High $2.75 | Facility | None | $0.31 | $1.82 | $2.75 |
Cigna Setting Professional Modifier None Typical Low $0.26 Median $0.39 Typical High $1.00 | Professional | None | $0.26 | $0.39 | $1.00 |
DeanCare Setting Facility Modifier None Typical Low $0.14 Median $0.51 Typical High $0.59 | Facility | None | $0.14 | $0.51 | $0.59 |
DeanCare Setting Professional Modifier None Typical Low $0.69 Median $0.78 Typical High $0.81 | Professional | None | $0.69 | $0.78 | $0.81 |
Medica Setting Facility Modifier None Typical Low $0.26 Median $0.51 Typical High $79.43 | Facility | None | $0.26 | $0.51 | $79.43 |
Medica Setting Professional Modifier None Typical Low $0.25 Median $0.34 Typical High $3.55 | Professional | None | $0.25 | $0.34 | $3.55 |
Network Health Setting Facility Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Facility | None | $0.85 | $0.85 | $0.85 |
Network Health Setting Professional Modifier None Typical Low $0.38 Median $0.50 Typical High $0.89 | Professional | None | $0.38 | $0.50 | $0.89 |
Prevea360 Setting Facility Modifier None Typical Low $0.14 Median $0.51 Typical High $0.59 | Facility | None | $0.14 | $0.51 | $0.59 |
Prevea360 Setting Professional Modifier None Typical Low $0.30 Median $0.30 Typical High $0.51 | Professional | None | $0.30 | $0.30 | $0.51 |
Quartz Setting Professional Modifier None Typical Low $0.44 Median $0.71 Typical High $0.87 | Professional | None | $0.44 | $0.71 | $0.87 |
Quartz Setting Facility Modifier None Typical Low $0.31 Median $0.31 Typical High $0.39 | Facility | None | $0.31 | $0.31 | $0.39 |
Quartz Setting Professional Modifier None Typical Low $0.26 Median $0.26 Typical High $0.39 | Professional | None | $0.26 | $0.26 | $0.39 |
Security Health Setting Professional Modifier None Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | None | $0.52 | $0.52 | $0.52 |
Security Health Setting Professional Modifier None Typical Low $0.52 Median $0.52 Typical High $0.68 | Professional | None | $0.52 | $0.52 | $0.68 |
United Setting Professional Modifier None Typical Low $0.17 Median $0.26 Typical High $0.48 | Professional | None | $0.17 | $0.26 | $0.48 |
1 more rate 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.15 Median $0.21 Typical High $0.21 | Professional | UE · Used equipment | $0.15 | $0.21 | $0.21 |
Where Wisconsin sits
The same service costs 17.0 times more in Kansas than in New Hampshire. 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· 12th of 51
$0.48
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.