How much rates vary
Facilitymedian $49 · 10th to 90th $13 to $49Professionalmedian $15 · 10th to 90th $11 to $71
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 $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $12.88 | Professional | None | $11.75 | $11.75 | $12.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $11.75 Typical High $70.79 | Professional | None | $10.96 | $11.75 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $33.88 Typical High $50.12 | Facility | None | $29.51 | $33.88 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $23.44 Typical High $33.88 | Professional | None | $13.80 | $23.44 | $33.88 |
DeanCare Setting Facility Modifier None Typical Low $10.47 Median $13.49 Typical High $23.44 | Facility | None | $10.47 | $13.49 | $23.44 |
DeanCare Setting Professional Modifier None Typical Low $14.45 Median $20.42 Typical High $33.88 | Professional | None | $14.45 | $20.42 | $33.88 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $23.44 Typical High $40.74 | Facility | None | $12.59 | $23.44 | $40.74 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $70.79 Typical High $70.79 | Professional | None | $15.49 | $70.79 | $70.79 |
Network Health Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Network Health Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $12.59 | Professional | None | $8.51 | $8.51 | $12.59 |
Prevea360 Setting Facility Modifier None Typical Low $10.47 Median $13.49 Typical High $23.44 | Facility | None | $10.47 | $13.49 | $23.44 |
Quartz Setting Professional Modifier None Typical Low $12.88 Median $15.49 Typical High $27.54 | Professional | None | $12.88 | $15.49 | $27.54 |
Quartz Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $35.48 | Professional | None | $12.59 | $12.59 | $35.48 |
Security Health Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Security Health Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Security Health Setting Professional Modifier None Typical Low $28.18 Median $57.54 Typical High $102.33 | Professional | None | $28.18 | $57.54 | $102.33 |
The Alliance Setting Professional Modifier None Typical Low $8.91 Median $69.18 Typical High $77.62 | Professional | None | $8.91 | $69.18 | $77.62 |
United Setting Professional Modifier None Typical Low $12.02 Median $21.38 Typical High $44.67 | Professional | None | $12.02 | $21.38 | $44.67 |
4 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 $5.89 Median $5.89 Typical High $5.89 | Professional | 52 · Reduced service | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | 53 · Discontinued | $2.34 | $2.34 | $2.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | 55 · Aftercare only | $1.78 | $1.78 | $1.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.17 Median $1.17 Typical High $1.20 | Professional | 56 · Pre-op care only | $1.17 | $1.17 | $1.20 |
Where Wisconsin sits
The same service costs 2.6 times more in Alaska than in Kentucky. 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· 13th of 51
$15.49
AK $25.12KY $9.77
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.