How much rates vary
Facilitymedian $95 · 10th to 90th $54 to $302Professionalmedian $95 · 10th to 90th $47 to $209
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 $53.70 Median $53.70 Typical High $95.50 | Facility | None | $53.70 | $53.70 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $95.50 | Professional | None | $53.70 | $75.86 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $95.50 Typical High $218.78 | Professional | None | $54.95 | $95.50 | $218.78 |
CareSource Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $302.00 Typical High $457.09 | Facility | None | $269.15 | $302.00 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $74.13 Typical High $190.55 | Professional | None | $42.66 | $74.13 | $190.55 |
DeanCare Setting Facility Modifier None Typical Low $63.10 Median $109.65 Typical High $190.55 | Facility | None | $63.10 | $109.65 | $190.55 |
DeanCare Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $269.15 | Professional | None | $100.00 | $158.49 | $269.15 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $91.20 Typical High $190.55 | Facility | None | $63.10 | $91.20 | $190.55 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $741.31 | Professional | None | $87.10 | $107.15 | $741.31 |
Network Health Setting Professional Modifier None Typical Low $120.23 Median $190.55 Typical High $208.93 | Professional | None | $120.23 | $190.55 | $208.93 |
Prevea360 Setting Facility Modifier None Typical Low $63.10 Median $109.65 Typical High $190.55 | Facility | None | $63.10 | $109.65 | $190.55 |
Quartz Setting Professional Modifier None Typical Low $51.29 Median $112.20 Typical High $223.87 | Professional | None | $51.29 | $112.20 | $223.87 |
Quartz Setting Professional Modifier None Typical Low $42.66 Median $74.13 Typical High $194.98 | Professional | None | $42.66 | $74.13 | $194.98 |
Security Health Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $123.03 | Professional | None | $70.79 | $70.79 | $123.03 |
Security Health Setting Professional Modifier None Typical Low $56.23 Median $165.96 Typical High $213.80 | Professional | None | $56.23 | $165.96 | $213.80 |
The Alliance Setting Professional Modifier None Typical Low $51.29 Median $107.15 Typical High $288.40 | Professional | None | $51.29 | $107.15 | $288.40 |
United Setting Professional Modifier None Typical Low $30.90 Median $83.18 Typical High $134.90 | Professional | None | $30.90 | $83.18 | $134.90 |
9 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 $26.92 Median $26.92 Typical High $47.86 | Facility | 52 · Reduced service | $26.92 | $26.92 | $47.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $19.05 | Facility | 53 · Discontinued | $10.96 | $10.96 | $19.05 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.13 Median $8.13 Typical High $14.13 | Facility | 55 · Aftercare only | $8.13 | $8.13 | $14.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $9.55 | Facility | 56 · Pre-op care only | $5.37 | $5.37 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $38.02 Typical High $47.86 | Professional | 52 · Reduced service | $26.92 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $15.14 Typical High $19.05 | Professional | 53 · Discontinued | $10.96 | $15.14 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $11.48 Typical High $14.13 | Professional | 55 · Aftercare only | $8.13 | $11.48 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $7.59 Typical High $9.55 | Professional | 56 · Pre-op care only | $5.37 | $7.59 | $9.55 |
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Wisconsin sits
The same service costs 3.0 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· 9th of 51
$95.50
AK $166FL $54.95
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.