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 Professional Modifier None Typical Low $102.33 Median $323.59 Typical High $1,047.13 | Professional | None | $102.33 | $323.59 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $407.38 Typical High $426.58 | Facility | None | $338.84 | $407.38 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $263.03 Typical High $758.58 | Professional | None | $45.71 | $263.03 | $758.58 |
CareSource Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
CareSource Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $457.09 Typical High $602.56 | Facility | None | $389.05 | $457.09 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $173.78 Typical High $489.78 | Professional | None | $83.18 | $173.78 | $489.78 |
DeanCare Setting Facility Modifier None Typical Low $81.28 Median $426.58 Typical High $691.83 | Facility | None | $81.28 | $426.58 | $691.83 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $186.21 Typical High $741.31 | Facility | None | $81.28 | $186.21 | $741.31 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $154.88 Typical High $436.52 | Professional | None | $74.13 | $154.88 | $436.52 |
Network Health Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $446.68 | Professional | None | $117.49 | $158.49 | $446.68 |
Prevea360 Setting Facility Modifier None Typical Low $81.28 Median $147.91 Typical High $199.53 | Facility | None | $81.28 | $147.91 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $173.78 Median $363.08 Typical High $512.86 | Professional | None | $173.78 | $363.08 | $512.86 |
Quartz Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Security Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $331.13 | Professional | None | $120.23 | $120.23 | $331.13 |
Security Health Setting Professional Modifier None Typical Low $120.23 Median $851.14 Typical High $1,096.48 | Professional | None | $120.23 | $851.14 | $1,096.48 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
United Setting Professional Modifier None Typical Low $66.07 Median $123.03 Typical High $478.63 | Professional | None | $66.07 | $123.03 | $478.63 |
3 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 Facility Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | 53 · Discontinued | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $524.81 | Professional | 52 · Reduced service | $93.33 | $93.33 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $208.93 | Professional | 53 · Discontinued | $37.15 | $37.15 | $208.93 |
Where Wisconsin sits
The same service costs 5.4 times more in Wyoming than in Georgia. 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
$219
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.