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 $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $43.65 | Professional | None | $5.89 | $5.89 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $12.88 Typical High $13.49 | Facility | None | $10.72 | $12.88 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $8.32 Typical High $36.31 | Professional | None | $2.45 | $8.32 | $36.31 |
CareSource Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Facility | None | $3.39 | $3.39 | $3.39 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $14.45 Typical High $19.50 | Facility | None | $12.59 | $14.45 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $5.62 Typical High $15.49 | Professional | None | $2.95 | $5.62 | $15.49 |
DeanCare Setting Facility Modifier None Typical Low $4.68 Median $23.44 Typical High $38.90 | Facility | None | $4.68 | $23.44 | $38.90 |
DeanCare Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Medica Setting Facility Modifier None Typical Low $3.98 Median $5.50 Typical High $75.86 | Facility | None | $3.98 | $5.50 | $75.86 |
Medica Setting Professional Modifier None Typical Low $2.95 Median $4.90 Typical High $16.22 | Professional | None | $2.95 | $4.90 | $16.22 |
Network Health Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Network Health Setting Professional Modifier None Typical Low $3.72 Median $5.01 Typical High $14.13 | Professional | None | $3.72 | $5.01 | $14.13 |
Prevea360 Setting Facility Modifier None Typical Low $3.98 Median $5.25 Typical High $6.31 | Facility | None | $3.98 | $5.25 | $6.31 |
Prevea360 Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Quartz Setting Professional Modifier None Typical Low $5.62 Median $11.75 Typical High $16.60 | Professional | None | $5.62 | $11.75 | $16.60 |
Quartz Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Security Health Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $10.47 | Professional | None | $5.13 | $5.13 | $10.47 |
Security Health Setting Professional Modifier None Typical Low $16.98 Median $26.92 Typical High $34.67 | Professional | None | $16.98 | $26.92 | $34.67 |
United Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
United Setting Professional Modifier None Typical Low $2.45 Median $4.27 Typical High $19.05 | Professional | None | $2.45 | $4.27 | $19.05 |
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 $2.95 Median $2.95 Typical High $21.88 | Professional | 52 · Reduced service | $2.95 | $2.95 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.20 Typical High $8.71 | Professional | 53 · Discontinued | $1.20 | $1.20 | $8.71 |
Where Wisconsin sits
The same service costs 3.6 times more in Alaska than in New Mexico. 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· 8th of 51
$7.08
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.