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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $151.36 | Professional | None | $28.18 | $28.18 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $66.07 Typical High $141.25 | Professional | None | $25.12 | $66.07 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $77.62 Typical High $114.82 | Facility | None | $67.61 | $77.62 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $35.48 Typical High $70.79 | Professional | None | $22.39 | $35.48 | $70.79 |
DeanCare Setting Facility Modifier None Typical Low $16.60 Median $28.18 Typical High $52.48 | Facility | None | $16.60 | $28.18 | $52.48 |
DeanCare Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $75.86 | Professional | None | $67.61 | $67.61 | $75.86 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $28.18 Typical High $52.48 | Facility | None | $16.60 | $28.18 | $52.48 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $81.28 Typical High $245.47 | Professional | None | $20.89 | $81.28 | $245.47 |
Network Health Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Network Health Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $70.79 | Professional | None | $34.67 | $38.02 | $70.79 |
Prevea360 Setting Facility Modifier None Typical Low $16.60 Median $28.18 Typical High $52.48 | Facility | None | $16.60 | $28.18 | $52.48 |
Quartz Setting Professional Modifier None Typical Low $26.92 Median $54.95 Typical High $69.18 | Professional | None | $26.92 | $54.95 | $69.18 |
Quartz Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $66.07 | Professional | None | $22.39 | $22.39 | $66.07 |
Security Health Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $45.71 | Professional | None | $23.99 | $23.99 | $45.71 |
Security Health Setting Professional Modifier None Typical Low $23.99 Median $123.03 Typical High $154.88 | Professional | None | $23.99 | $123.03 | $154.88 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $18.20 Median $30.20 Typical High $117.49 | Professional | None | $18.20 | $30.20 | $117.49 |
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 $14.13 Median $14.13 Typical High $75.86 | Professional | 52 · Reduced service | $14.13 | $14.13 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $30.20 | Professional | 53 · Discontinued | $5.62 | $5.62 | $30.20 |
Where Wisconsin sits
The same service costs 5.2 times more in Texas than in New Jersey. 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· 4th of 51
$50.12
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.