How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $13.80 Median $15.85 Typical High $19.05 | Facility | None | $13.80 | $15.85 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $41.69 Typical High $89.13 | Professional | None | $17.78 | $41.69 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $16.98 Typical High $46.77 | Professional | None | $15.85 | $16.98 | $46.77 |
CareSource Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $47.86 Typical High $72.44 | Facility | None | $42.66 | $47.86 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $18.20 Typical High $28.84 | Professional | None | $13.80 | $18.20 | $28.84 |
DeanCare Setting Facility Modifier None Typical Low $14.79 Median $17.78 Typical High $32.36 | Facility | None | $14.79 | $17.78 | $32.36 |
DeanCare Setting Professional Modifier None Typical Low $16.98 Median $29.51 Typical High $44.67 | Professional | None | $16.98 | $29.51 | $44.67 |
Medica Setting Facility Modifier None Typical Low $14.79 Median $32.36 Typical High $54.95 | Facility | None | $14.79 | $32.36 | $54.95 |
Medica Setting Professional Modifier None Typical Low $22.39 Median $97.72 Typical High $97.72 | Professional | None | $22.39 | $97.72 | $97.72 |
Network Health Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.79 | Professional | None | $12.02 | $12.02 | $14.79 |
Prevea360 Setting Facility Modifier None Typical Low $14.79 Median $17.78 Typical High $32.36 | Facility | None | $14.79 | $17.78 | $32.36 |
Quartz Setting Professional Modifier None Typical Low $18.20 Median $22.39 Typical High $36.31 | Professional | None | $18.20 | $22.39 | $36.31 |
Quartz Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $21.38 | Professional | None | $13.80 | $13.80 | $21.38 |
Security Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Security Health Setting Professional Modifier None Typical Low $18.62 Median $23.99 Typical High $33.88 | Professional | None | $18.62 | $23.99 | $33.88 |
The Alliance Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $24.55 | Professional | None | $16.60 | $19.50 | $24.55 |
United Setting Professional Modifier None Typical Low $17.38 Median $28.84 Typical High $47.86 | Professional | None | $17.38 | $28.84 | $47.86 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $34.67 Typical High $44.67 | Professional | 52 · Reduced service | $25.12 | $34.67 | $44.67 |
Where Wisconsin sits
The same service costs 5.1 times more in Alaska than in Maine. 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· 13th of 51
$19.05
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.