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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $338.84 | Professional | None | $31.62 | $31.62 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $120.23 Typical High $489.78 | Professional | None | $32.36 | $120.23 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $102.33 Typical High $134.90 | Facility | None | $51.29 | $102.33 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $50.12 Typical High $72.44 | Professional | None | $33.11 | $50.12 | $72.44 |
DeanCare Setting Facility Modifier None Typical Low $31.62 Median $38.90 Typical High $77.62 | Facility | None | $31.62 | $38.90 | $77.62 |
DeanCare Setting Professional Modifier None Typical Low $39.81 Median $60.26 Typical High $63.10 | Professional | None | $39.81 | $60.26 | $63.10 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $38.90 Typical High $77.62 | Facility | None | $31.62 | $38.90 | $77.62 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $52.48 | Professional | None | $32.36 | $32.36 | $52.48 |
Network Health Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Network Health Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Prevea360 Setting Facility Modifier None Typical Low $31.62 Median $38.90 Typical High $77.62 | Facility | None | $31.62 | $38.90 | $77.62 |
Quartz Setting Professional Modifier None Typical Low $52.48 Median $109.65 Typical High $158.49 | Professional | None | $52.48 | $109.65 | $158.49 |
Quartz Setting Facility Modifier None Typical Low $44.67 Median $102.33 Typical High $102.33 | Facility | None | $44.67 | $102.33 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $72.44 | Professional | None | $33.11 | $33.11 | $72.44 |
Security Health Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Security Health Setting Professional Modifier None Typical Low $56.23 Median $70.79 Typical High $147.91 | Professional | None | $56.23 | $70.79 | $147.91 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $44.67 | Professional | None | $32.36 | $32.36 | $44.67 |
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 $15.85 Median $15.85 Typical High $169.82 | Professional | 52 · Reduced service | $15.85 | $15.85 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $67.61 | Professional | 53 · Discontinued | $6.31 | $6.31 | $67.61 |
Where Wisconsin sits
The same service costs 3.5 times more in Montana than in North Dakota. 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
$52.48
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.