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 $0.05 Median $0.05 Typical High $0.11 | Facility | None | $0.05 | $0.05 | $0.11 |
Aetna Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $3.02 | Professional | None | $0.05 | $0.05 | $3.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.06 Median $0.06 Typical High $0.06 | Facility | None | $0.06 | $0.06 | $0.06 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.06 | Professional | None | $0.05 | $0.05 | $0.06 |
Cigna Setting Facility Modifier None Typical Low $0.07 Median $0.09 Typical High $0.15 | Facility | None | $0.07 | $0.09 | $0.15 |
Cigna Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.10 | Professional | None | $0.05 | $0.05 | $0.10 |
DeanCare Setting Facility Modifier None Typical Low $0.06 Median $0.06 Typical High $0.71 | Facility | None | $0.06 | $0.06 | $0.71 |
DeanCare Setting Professional Modifier None Typical Low $0.09 Median $0.12 Typical High $0.12 | Professional | None | $0.09 | $0.12 | $0.12 |
Medica Setting Facility Modifier None Typical Low $0.05 Median $0.51 Typical High $1.29 | Facility | None | $0.05 | $0.51 | $1.29 |
Medica Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.12 | Professional | None | $0.05 | $0.05 | $0.12 |
Network Health Setting Facility Modifier None Typical Low $0.05 Median $0.05 Typical High $0.05 | Facility | None | $0.05 | $0.05 | $0.05 |
Prevea360 Setting Facility Modifier None Typical Low $0.06 Median $0.06 Typical High $0.71 | Facility | None | $0.06 | $0.06 | $0.71 |
Prevea360 Setting Professional Modifier None Typical Low $0.09 Median $0.12 Typical High $0.12 | Professional | None | $0.09 | $0.12 | $0.12 |
Quartz Setting Professional Modifier None Typical Low $0.05 Median $0.44 Typical High $0.91 | Professional | None | $0.05 | $0.44 | $0.91 |
Quartz Setting Facility Modifier None Typical Low $0.07 Median $0.15 Typical High $0.15 | Facility | None | $0.07 | $0.15 | $0.15 |
Quartz Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | None | $0.05 | $0.05 | $0.05 |
Security Health Setting Professional Modifier None Typical Low $0.07 Median $0.07 Typical High $0.68 | Professional | None | $0.07 | $0.07 | $0.68 |
United Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.07 | Professional | None | $0.05 | $0.05 | $0.07 |
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 $0.03 Median $0.03 Typical High $1.51 | Professional | 52 · Reduced service | $0.03 | $0.03 | $1.51 |
Where Wisconsin sits
The same service costs 12.9 times more in Oklahoma than in Delaware. 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· 17th of 51
$0.06
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.