How much rates vary
Facilitymedian $30 · 10th to 90th $16 to $74Professionalmedian $30 · 10th to 90th $10 to $87
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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $114.82 | Professional | None | $30.20 | $30.20 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $64.57 Typical High $69.18 | Facility | None | $53.70 | $64.57 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $30.90 Typical High $97.72 | Professional | None | $10.00 | $30.90 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $72.44 Typical High $95.50 | Facility | None | $61.66 | $72.44 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $27.54 Typical High $77.62 | Professional | None | $14.79 | $27.54 | $77.62 |
DeanCare Setting Facility Modifier None Typical Low $12.59 Median $30.20 Typical High $45.71 | Facility | None | $12.59 | $30.20 | $45.71 |
DeanCare Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $25.12 Typical High $117.49 | Facility | None | $12.59 | $25.12 | $117.49 |
Medica Setting Professional Modifier None Typical Low $7.59 Median $25.12 Typical High $67.61 | Professional | None | $7.59 | $25.12 | $67.61 |
Network Health Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Network Health Setting Professional Modifier None Typical Low $10.72 Median $25.12 Typical High $70.79 | Professional | None | $10.72 | $25.12 | $70.79 |
Prevea360 Setting Facility Modifier None Typical Low $12.59 Median $23.44 Typical High $32.36 | Facility | None | $12.59 | $23.44 | $32.36 |
Prevea360 Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Quartz Setting Professional Modifier None Typical Low $27.54 Median $58.88 Typical High $83.18 | Professional | None | $27.54 | $58.88 | $83.18 |
Quartz Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Security Health Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $34.67 | Professional | None | $5.75 | $5.75 | $34.67 |
Security Health Setting Professional Modifier None Typical Low $5.75 Median $32.36 Typical High $173.78 | Professional | None | $5.75 | $32.36 | $173.78 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $12.30 Median $25.12 Typical High $77.62 | Professional | None | $12.30 | $25.12 | $77.62 |
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 $15.14 Median $15.14 Typical High $57.54 | Professional | 52 · Reduced service | $15.14 | $15.14 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $22.91 | Professional | 53 · Discontinued | $6.03 | $6.03 | $22.91 |
Where Wisconsin sits
The same service costs 2.7 times more in Montana than in Georgia. 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· 5th of 51
$30.20
MT $36.31GA $13.49
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.