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 $0.05 | Professional | None | $0.05 | $0.05 | $0.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.31 Median $0.31 Typical High $0.31 | Professional | None | $0.31 | $0.31 | $0.31 |
Cigna Setting Facility Modifier None Typical Low $0.08 Median $1.95 Typical High $4.07 | Facility | None | $0.08 | $1.95 | $4.07 |
Cigna Setting Professional Modifier None Typical Low $0.05 Median $1.51 Typical High $1.91 | Professional | None | $0.05 | $1.51 | $1.91 |
DeanCare Setting Facility Modifier None Typical Low $0.04 Median $0.04 Typical High $0.05 | Facility | None | $0.04 | $0.04 | $0.05 |
DeanCare Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Medica Setting Facility Modifier None Typical Low $0.04 Median $0.04 Typical High $0.05 | Facility | None | $0.04 | $0.04 | $0.05 |
Medica Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.04 | Professional | None | $0.02 | $0.02 | $0.04 |
Prevea360 Setting Facility Modifier None Typical Low $0.04 Median $0.04 Typical High $0.05 | Facility | None | $0.04 | $0.04 | $0.05 |
Prevea360 Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Quartz Setting Professional Modifier None Typical Low $4.17 Median $4.90 Typical High $6.31 | Professional | None | $4.17 | $4.90 | $6.31 |
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 |
United Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Professional | None | $0.02 | $0.02 | $0.03 |
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 |
|---|---|---|---|---|---|
Security Health Setting Professional Modifier Y1 Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | Y1 | $0.28 | $0.28 | $0.28 |
Where Wisconsin sits
The same service costs 26.9 times more in Oklahoma than in South Carolina. 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· 26th of 51
$0.05
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.