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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $21.88 Typical High $57.54 | Professional | None | $5.01 | $21.88 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $47.86 Typical High $51.29 | Facility | None | $39.81 | $47.86 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $21.38 Typical High $61.66 | Professional | None | $5.89 | $21.38 | $61.66 |
CareSource Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $52.48 Typical High $69.18 | Facility | None | $44.67 | $52.48 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $19.50 Typical High $54.95 | Professional | None | $8.91 | $19.50 | $54.95 |
DeanCare Setting Facility Modifier None Typical Low $8.91 Median $23.44 Typical High $33.88 | Facility | None | $8.91 | $23.44 | $33.88 |
DeanCare Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $18.20 Typical High $85.11 | Facility | None | $8.91 | $18.20 | $85.11 |
Medica Setting Professional Modifier None Typical Low $5.89 Median $15.14 Typical High $40.74 | Professional | None | $5.89 | $15.14 | $40.74 |
Network Health Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Network Health Setting Professional Modifier None Typical Low $8.32 Median $15.49 Typical High $48.98 | Professional | None | $8.32 | $15.49 | $48.98 |
Prevea360 Setting Facility Modifier None Typical Low $8.91 Median $15.14 Typical High $23.44 | Facility | None | $8.91 | $15.14 | $23.44 |
Prevea360 Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
Quartz Setting Professional Modifier None Typical Low $19.95 Median $41.69 Typical High $53.70 | Professional | None | $19.95 | $41.69 | $53.70 |
Quartz Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Security Health Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $33.88 | Professional | None | $4.37 | $4.37 | $33.88 |
Security Health Setting Professional Modifier None Typical Low $4.37 Median $93.33 Typical High $107.15 | Professional | None | $4.37 | $93.33 | $107.15 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $6.03 Median $15.14 Typical High $44.67 | Professional | None | $6.03 | $15.14 | $44.67 |
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 $10.96 Median $10.96 Typical High $28.18 | Professional | 52 · Reduced service | $10.96 | $10.96 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $11.48 | Professional | 53 · Discontinued | $4.37 | $4.37 | $11.48 |
Where Wisconsin sits
The same service costs 4.8 times more in Montana than in Kentucky. 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· 3rd of 51
$21.88
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.