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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $288.40 | Professional | None | $67.61 | $67.61 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $154.88 Typical High $338.84 | Professional | None | $63.10 | $154.88 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $162.18 Typical High $218.78 | Facility | None | $109.65 | $162.18 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $107.15 | Professional | None | $69.18 | $79.43 | $107.15 |
DeanCare Setting Facility Modifier None Typical Low $48.98 Median $67.61 Typical High $91.20 | Facility | None | $48.98 | $67.61 | $91.20 |
DeanCare Setting Professional Modifier None Typical Low $54.95 Median $134.90 Typical High $144.54 | Professional | None | $54.95 | $134.90 | $144.54 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $67.61 Typical High $109.65 | Facility | None | $48.98 | $67.61 | $109.65 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $114.82 | Professional | None | $79.43 | $79.43 | $114.82 |
Network Health Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Network Health Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Prevea360 Setting Facility Modifier None Typical Low $48.98 Median $67.61 Typical High $91.20 | Facility | None | $48.98 | $67.61 | $91.20 |
Quartz Setting Professional Modifier None Typical Low $69.18 Median $141.25 Typical High $194.98 | Professional | None | $69.18 | $141.25 | $194.98 |
Quartz Setting Facility Modifier None Typical Low $95.50 Median $218.78 Typical High $218.78 | Facility | None | $95.50 | $218.78 | $218.78 |
Quartz Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $93.33 | Professional | None | $70.79 | $70.79 | $93.33 |
Security Health Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Security Health Setting Professional Modifier None Typical Low $77.62 Median $97.72 Typical High $204.17 | Professional | None | $77.62 | $97.72 | $204.17 |
United Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $109.65 | Professional | None | $79.43 | $79.43 | $109.65 |
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 $33.88 Median $33.88 Typical High $144.54 | Professional | 52 · Reduced service | $33.88 | $33.88 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $57.54 | Professional | 53 · Discontinued | $13.49 | $13.49 | $57.54 |
Where Wisconsin sits
The same service costs 2.5 times more in Kansas than in Indiana. 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· 3rd of 51
$100
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.