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 $181.97 Median $501.19 Typical High $912.01 | Professional | None | $181.97 | $501.19 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $645.65 Typical High $676.08 | Facility | None | $524.81 | $645.65 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $416.87 Typical High $1,202.26 | Professional | None | $45.71 | $416.87 | $1,202.26 |
CareSource Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
CareSource Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $724.44 Typical High $954.99 | Facility | None | $616.60 | $724.44 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $275.42 Typical High $776.25 | Professional | None | $60.26 | $275.42 | $776.25 |
DeanCare Setting Facility Modifier None Typical Low $141.25 Median $741.31 Typical High $1,230.27 | Facility | None | $141.25 | $741.31 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $245.47 Typical High $1,174.90 | Facility | None | $141.25 | $245.47 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $245.47 Typical High $691.83 | Professional | None | $128.82 | $245.47 | $691.83 |
Network Health Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $691.83 | Professional | None | $186.21 | $251.19 | $691.83 |
Prevea360 Setting Facility Modifier None Typical Low $141.25 Median $234.42 Typical High $316.23 | Facility | None | $141.25 | $234.42 | $316.23 |
Quartz Setting Professional Modifier None Typical Low $275.42 Median $575.44 Typical High $812.83 | Professional | None | $275.42 | $575.44 | $812.83 |
Quartz Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Security Health Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $524.81 | Professional | None | $190.55 | $190.55 | $524.81 |
Security Health Setting Professional Modifier None Typical Low $190.55 Median $724.44 Typical High $1,737.80 | Professional | None | $190.55 | $724.44 | $1,737.80 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $107.15 Median $199.53 Typical High $758.58 | Professional | None | $107.15 | $199.53 | $758.58 |
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 $58.88 Median $58.88 Typical High $58.88 | Facility | 53 · Discontinued | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $446.68 | Professional | 52 · Reduced service | $147.91 | $147.91 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $177.83 | Professional | 53 · Discontinued | $58.88 | $58.88 | $177.83 |
Where Wisconsin sits
The same service costs 7.4 times more in Alaska 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
$347
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.