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 $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $64.57 | Professional | None | $11.75 | $11.75 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $25.12 Typical High $26.92 | Facility | None | $20.89 | $25.12 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.89 Median $16.22 Typical High $52.48 | Professional | None | $3.89 | $16.22 | $52.48 |
CareSource Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $28.18 Typical High $37.15 | Facility | None | $24.55 | $28.18 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $10.96 Typical High $30.20 | Professional | None | $5.75 | $10.96 | $30.20 |
DeanCare Setting Facility Modifier None Typical Low $7.24 Median $33.88 Typical High $54.95 | Facility | None | $7.24 | $33.88 | $54.95 |
DeanCare Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
Medica Setting Facility Modifier None Typical Low $7.24 Median $9.77 Typical High $85.11 | Facility | None | $7.24 | $9.77 | $85.11 |
Medica Setting Professional Modifier None Typical Low $5.89 Median $9.77 Typical High $26.30 | Professional | None | $5.89 | $9.77 | $26.30 |
Network Health Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Network Health Setting Professional Modifier None Typical Low $7.24 Median $10.00 Typical High $27.54 | Professional | None | $7.24 | $10.00 | $27.54 |
Prevea360 Setting Facility Modifier None Typical Low $7.24 Median $9.12 Typical High $12.59 | Facility | None | $7.24 | $9.12 | $12.59 |
Prevea360 Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
Quartz Setting Professional Modifier None Typical Low $10.72 Median $22.39 Typical High $31.62 | Professional | None | $10.72 | $22.39 | $31.62 |
Quartz Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Security Health Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $20.89 | Professional | None | $7.41 | $7.41 | $20.89 |
Security Health Setting Professional Modifier None Typical Low $7.41 Median $53.70 Typical High $67.61 | Professional | None | $7.41 | $53.70 | $67.61 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
United Setting Professional Modifier None Typical Low $5.89 Median $9.77 Typical High $30.20 | Professional | None | $5.89 | $9.77 | $30.20 |
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 $5.89 Median $5.89 Typical High $32.36 | Professional | 52 · Reduced service | $5.89 | $5.89 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $12.88 | Professional | 53 · Discontinued | $2.34 | $2.34 | $12.88 |
Where Wisconsin sits
The same service costs 2.3 times more in Alaska than in Florida. 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
$12.59
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.