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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $602.56 | Professional | None (both parts) | $416.87 | $416.87 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $302.00 | Professional | 52 · Reduced service | $208.93 | $208.93 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $120.23 | Professional | 53 · Discontinued | $83.18 | $83.18 | $120.23 |
DeanCare Setting Facility Modifier None Typical Low $316.23 Median $1,862.09 Typical High $2,511.89 | Facility | None | $316.23 | $1,862.09 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $912.01 | Facility | None | $316.23 | $316.23 | $912.01 |
Prevea360 Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
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 |
|---|---|---|---|---|---|
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,621.81 Median $1,995.26 Typical High $2,511.89 | Facility | TC · Technical part | $1,621.81 | $1,995.26 | $2,511.89 |
Where Wisconsin sits
The same service costs 37.2 times more in Oklahoma than in Montana. 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· 20th of 51
$417
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.