How much rates vary
Facilitymedian $93 · 10th to 90th $42 to $309Professionalmedian $91 · 10th to 90th $35 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 $41.69 Median $41.69 Typical High $93.33 | Facility | None | $41.69 | $41.69 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $79.43 Typical High $93.33 | Professional | None | $41.69 | $79.43 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $97.72 Typical High $218.78 | Professional | None | $42.66 | $97.72 | $218.78 |
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 $32.36 Median $72.44 Typical High $190.55 | Professional | None | $32.36 | $72.44 | $190.55 |
DeanCare Setting Facility Modifier None Typical Low $48.98 Median $91.20 Typical High $186.21 | Facility | None | $48.98 | $91.20 | $186.21 |
DeanCare Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $263.03 | Professional | None | $75.86 | $120.23 | $263.03 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $91.20 Typical High $331.13 | Facility | None | $48.98 | $91.20 | $331.13 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $109.65 Typical High $645.65 | Professional | None | $81.28 | $109.65 | $645.65 |
Network Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $100.00 | Facility | None | $66.07 | $66.07 | $100.00 |
Network Health Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $223.87 | Professional | None | $89.13 | $120.23 | $223.87 |
Prevea360 Setting Facility Modifier None Typical Low $48.98 Median $91.20 Typical High $186.21 | Facility | None | $48.98 | $91.20 | $186.21 |
Quartz Setting Professional Modifier None Typical Low $38.90 Median $102.33 Typical High $213.80 | Professional | None | $38.90 | $102.33 | $213.80 |
Quartz Setting Professional Modifier None Typical Low $32.36 Median $72.44 Typical High $194.98 | Professional | None | $32.36 | $72.44 | $194.98 |
Security Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $123.03 | Professional | None | $53.70 | $53.70 | $123.03 |
Security Health Setting Professional Modifier None Typical Low $72.44 Median $125.89 Typical High $208.93 | Professional | None | $72.44 | $125.89 | $208.93 |
The Alliance Setting Professional Modifier None Typical Low $38.90 Median $97.72 Typical High $190.55 | Professional | None | $38.90 | $97.72 | $190.55 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $30.90 Median $72.44 Typical High $125.89 | Professional | None | $30.90 | $72.44 | $125.89 |
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 $20.89 Median $20.89 Typical High $46.77 | Facility | 52 · Reduced service | $20.89 | $20.89 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $19.05 | Facility | 53 · Discontinued | $8.32 | $8.32 | $19.05 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $14.13 | Facility | 55 · Aftercare only | $6.31 | $6.31 | $14.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $9.33 | Facility | 56 · Pre-op care only | $4.17 | $4.17 | $9.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $38.02 Typical High $46.77 | Professional | 52 · Reduced service | $20.89 | $38.02 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $15.14 Typical High $19.05 | Professional | 53 · Discontinued | $8.32 | $15.14 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $11.48 Typical High $14.13 | Professional | 55 · Aftercare only | $6.31 | $11.48 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $7.59 Typical High $9.33 | Professional | 56 · Pre-op care only | $4.17 | $7.59 | $9.33 |
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 2.5 times more in Alaska than in Washington, DC. 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
$91.20
AK $129DC $51.29
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.