How much rates vary
Facilitymedian $105 · 10th to 90th $49 to $324Professionalmedian $95 · 10th to 90th $42 to $219
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 $48.98 Median $48.98 Typical High $97.72 | Facility | None | $48.98 | $48.98 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $85.11 Typical High $97.72 | Professional | None | $48.98 | $85.11 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $102.33 Typical High $229.09 | Professional | None | $51.29 | $102.33 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $316.23 Typical High $467.74 | Facility | None | $275.42 | $316.23 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $75.86 Typical High $204.17 | Professional | None | $38.02 | $75.86 | $204.17 |
DeanCare Setting Facility Modifier None Typical Low $57.54 Median $104.71 Typical High $199.53 | Facility | None | $57.54 | $104.71 | $199.53 |
DeanCare Setting Professional Modifier None Typical Low $91.20 Median $144.54 Typical High $275.42 | Professional | None | $91.20 | $144.54 | $275.42 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $109.65 Typical High $1,023.29 | Facility | None | $57.54 | $109.65 | $1,023.29 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $676.08 | Professional | None | $85.11 | $117.49 | $676.08 |
Network Health Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $114.82 | Facility | None | $81.28 | $81.28 | $114.82 |
Network Health Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $223.87 | Professional | None | $95.50 | $128.82 | $223.87 |
Prevea360 Setting Facility Modifier None Typical Low $57.54 Median $104.71 Typical High $199.53 | Facility | None | $57.54 | $104.71 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $45.71 Median $107.15 Typical High $218.78 | Professional | None | $45.71 | $107.15 | $218.78 |
Quartz Setting Professional Modifier None Typical Low $38.02 Median $75.86 Typical High $204.17 | Professional | None | $38.02 | $75.86 | $204.17 |
Security Health Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $128.82 | Professional | None | $64.57 | $64.57 | $128.82 |
Security Health Setting Professional Modifier None Typical Low $87.10 Median $169.82 Typical High $229.09 | Professional | None | $87.10 | $169.82 | $229.09 |
The Alliance Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $288.40 | Professional | None | $104.71 | $109.65 | $288.40 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
United Setting Professional Modifier None Typical Low $30.90 Median $79.43 Typical High $141.25 | Professional | None | $30.90 | $79.43 | $141.25 |
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 $24.55 Median $24.55 Typical High $48.98 | Facility | 52 · Reduced service | $24.55 | $24.55 | $48.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $19.50 | Facility | 53 · Discontinued | $9.77 | $9.77 | $19.50 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.41 Median $7.41 Typical High $14.79 | Facility | 55 · Aftercare only | $7.41 | $7.41 | $14.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.90 Median $4.90 Typical High $9.77 | Facility | 56 · Pre-op care only | $4.90 | $4.90 | $9.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $42.66 Typical High $48.98 | Professional | 52 · Reduced service | $24.55 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $16.98 Typical High $19.50 | Professional | 53 · Discontinued | $9.77 | $16.98 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $12.59 Typical High $14.79 | Professional | 55 · Aftercare only | $7.41 | $12.59 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $8.51 Typical High $9.77 | Professional | 56 · Pre-op care only | $4.90 | $8.51 | $9.77 |
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 2.8 times more in Alaska than in Maryland. 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· 7th of 51
$95.50
AK $155MD $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.