How much rates vary
Facilitymedian $30 · 10th to 90th $25 to $85Professionalmedian $52 · 10th to 90th $17 to $158
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 $24.55 Median $24.55 Typical High $30.20 | Facility | None | $24.55 | $24.55 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $416.87 | Professional | None | $24.55 | $30.20 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $79.43 Typical High $158.49 | Professional | None | $25.12 | $79.43 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $72.44 Typical High $112.20 | Facility | None | $42.66 | $72.44 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $21.38 Typical High $63.10 | Professional | None | $10.23 | $21.38 | $63.10 |
DeanCare Setting Facility Modifier None Typical Low $19.95 Median $25.12 Typical High $41.69 | Facility | None | $19.95 | $25.12 | $41.69 |
DeanCare Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $81.28 | Professional | None | $58.88 | $64.57 | $81.28 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $25.70 Typical High $138.04 | Facility | None | $19.95 | $25.70 | $138.04 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $100.00 Typical High $165.96 | Professional | None | $25.12 | $100.00 | $165.96 |
Network Health Setting Facility Modifier None Typical Low $53.70 Median $60.26 Typical High $60.26 | Facility | None | $53.70 | $60.26 | $60.26 |
Network Health Setting Professional Modifier None Typical Low $25.12 Median $38.02 Typical High $42.66 | Professional | None | $25.12 | $38.02 | $42.66 |
Prevea360 Setting Facility Modifier None Typical Low $19.95 Median $25.12 Typical High $41.69 | Facility | None | $19.95 | $25.12 | $41.69 |
Quartz Setting Professional Modifier None Typical Low $29.51 Median $54.95 Typical High $75.86 | Professional | None | $29.51 | $54.95 | $75.86 |
Quartz Setting Professional Modifier None Typical Low $10.23 Median $12.59 Typical High $41.69 | Professional | None | $10.23 | $12.59 | $41.69 |
Security Health Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $54.95 | Professional | None | $45.71 | $45.71 | $54.95 |
Security Health Setting Professional Modifier None Typical Low $63.10 Median $138.04 Typical High $173.78 | Professional | None | $63.10 | $138.04 | $173.78 |
The Alliance Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $95.50 | Professional | None | $33.11 | $89.13 | $95.50 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
United Setting Professional Modifier None Typical Low $16.60 Median $26.92 Typical High $97.72 | Professional | None | $16.60 | $26.92 | $97.72 |
8 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 Facility Modifier 52 · Reduced service Typical Low $12.30 Median $12.30 Typical High $15.14 | Facility | 52 · Reduced service | $12.30 | $12.30 | $15.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $6.03 | Facility | 53 · Discontinued | $4.90 | $4.90 | $6.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.63 Median $3.63 Typical High $4.57 | Facility | 55 · Aftercare only | $3.63 | $3.63 | $4.57 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.45 Typical High $3.02 | Facility | 56 · Pre-op care only | $2.45 | $2.45 | $3.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $15.14 Typical High $208.93 | Professional | 52 · Reduced service | $12.30 | $15.14 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.03 Typical High $83.18 | Professional | 53 · Discontinued | $4.90 | $6.03 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $4.57 Typical High $61.66 | Professional | 55 · Aftercare only | $3.63 | $4.57 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $3.02 Typical High $41.69 | Professional | 56 · Pre-op care only | $2.45 | $3.02 | $41.69 |
Where Wisconsin sits
The same service costs 4.5 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· 3rd of 51
$46.77
AK $74.13FL $16.60
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.