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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $426.58 | Professional | None | $81.28 | $81.28 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $114.82 Typical High $323.59 | Professional | None | $89.13 | $114.82 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $275.42 Typical High $407.38 | Facility | None | $239.88 | $275.42 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $165.96 | Professional | None | $81.28 | $100.00 | $165.96 |
DeanCare Setting Facility Modifier None Typical Low $85.11 Median $102.33 Typical High $186.21 | Facility | None | $85.11 | $102.33 | $186.21 |
DeanCare Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $245.47 | Professional | None | $162.18 | $181.97 | $245.47 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $102.33 Typical High $186.21 | Facility | None | $85.11 | $102.33 | $186.21 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $346.74 Typical High $588.84 | Professional | None | $104.71 | $346.74 | $588.84 |
Network Health Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $114.82 | Professional | None | $81.28 | $81.28 | $114.82 |
Prevea360 Setting Facility Modifier None Typical Low $85.11 Median $102.33 Typical High $186.21 | Facility | None | $85.11 | $102.33 | $186.21 |
Quartz Setting Professional Modifier None Typical Low $93.33 Median $186.21 Typical High $281.84 | Professional | None | $93.33 | $186.21 | $281.84 |
Quartz Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Security Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Security Health Setting Professional Modifier None Typical Low $309.03 Median $630.96 Typical High $851.14 | Professional | None | $309.03 | $630.96 | $851.14 |
United Setting Professional Modifier None Typical Low $104.71 Median $199.53 Typical High $630.96 | Professional | None | $104.71 | $199.53 | $630.96 |
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 $40.74 Median $40.74 Typical High $213.80 | Professional | 52 · Reduced service | $40.74 | $40.74 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $85.11 | Professional | 53 · Discontinued | $16.22 | $16.22 | $85.11 |
Where Wisconsin sits
The same service costs 2.2 times more in Nebraska than in Texas. 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· 10th of 51
$135
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.