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 $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $36.31 | Professional | None | $13.18 | $13.18 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $29.51 Typical High $30.90 | Facility | None | $24.55 | $29.51 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.00 Median $11.22 Typical High $24.55 | Professional | None | $2.00 | $11.22 | $24.55 |
CareSource Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Facility | None | $2.75 | $2.75 | $2.75 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $32.36 Typical High $42.66 | Facility | None | $28.18 | $32.36 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $12.02 Typical High $33.88 | Professional | None | $2.63 | $12.02 | $33.88 |
DeanCare Setting Facility Modifier None Typical Low $5.50 Median $18.20 Typical High $28.18 | Facility | None | $5.50 | $18.20 | $28.18 |
Medica Setting Facility Modifier None Typical Low $5.01 Median $9.55 Typical High $75.86 | Facility | None | $5.01 | $9.55 | $75.86 |
Medica Setting Professional Modifier None Typical Low $3.02 Median $6.61 Typical High $13.80 | Professional | None | $3.02 | $6.61 | $13.80 |
Network Health Setting Professional Modifier None Typical Low $5.13 Median $8.32 Typical High $30.20 | Professional | None | $5.13 | $8.32 | $30.20 |
Prevea360 Setting Facility Modifier None Typical Low $5.01 Median $8.71 Typical High $13.18 | Facility | None | $5.01 | $8.71 | $13.18 |
Quartz Setting Professional Modifier None Typical Low $12.30 Median $22.91 Typical High $33.11 | Professional | None | $12.30 | $22.91 | $33.11 |
Quartz Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
Security Health Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $10.72 | Professional | None | $3.72 | $3.72 | $10.72 |
Security Health Setting Professional Modifier None Typical Low $3.72 Median $30.90 Typical High $58.88 | Professional | None | $3.72 | $30.90 | $58.88 |
United Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $3.02 Median $6.61 Typical High $15.49 | Professional | None | $3.02 | $6.61 | $15.49 |
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 $6.61 Median $6.61 Typical High $18.20 | Professional | 52 · Reduced service | $6.61 | $6.61 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $7.24 | Professional | 53 · Discontinued | $2.63 | $2.63 | $7.24 |
Where Wisconsin sits
The same service costs 5.2 times more in Montana than in West 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· 3rd of 51
$13.18
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.