How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $288.40 | Professional | None | $22.39 | $22.39 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $56.23 Typical High $114.82 | Professional | None | $21.88 | $56.23 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $64.57 Typical High $95.50 | Facility | None | $56.23 | $64.57 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $41.69 Typical High $63.10 | Professional | None | $23.99 | $41.69 | $63.10 |
DeanCare Setting Facility Modifier None Typical Low $19.95 Median $25.12 Typical High $43.65 | Facility | None | $19.95 | $25.12 | $43.65 |
DeanCare Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $60.26 | Professional | None | $38.02 | $44.67 | $60.26 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $29.51 Typical High $794.33 | Facility | None | $19.95 | $29.51 | $794.33 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $79.43 Typical High $275.42 | Professional | None | $28.18 | $79.43 | $275.42 |
Network Health Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $42.66 | Facility | None | $33.11 | $33.11 | $42.66 |
Network Health Setting Professional Modifier None Typical Low $15.85 Median $26.92 Typical High $54.95 | Professional | None | $15.85 | $26.92 | $54.95 |
Prevea360 Setting Facility Modifier None Typical Low $19.95 Median $25.12 Typical High $43.65 | Facility | None | $19.95 | $25.12 | $43.65 |
Quartz Setting Professional Modifier None Typical Low $19.95 Median $39.81 Typical High $64.57 | Professional | None | $19.95 | $39.81 | $64.57 |
Quartz Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $48.98 | Professional | None | $23.99 | $23.99 | $48.98 |
Security Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Security Health Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $138.04 | Professional | None | $52.48 | $66.07 | $138.04 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
United Setting Professional Modifier None Typical Low $22.91 Median $48.98 Typical High $93.33 | Professional | None | $22.91 | $48.98 | $93.33 |
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 $10.96 Median $10.96 Typical High $144.54 | Professional | 52 · Reduced service | $10.96 | $10.96 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $57.54 | Professional | 53 · Discontinued | $4.47 | $4.47 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $3.31 Typical High $42.66 | Professional | 55 · Aftercare only | $3.31 | $3.31 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.24 Typical High $28.84 | Professional | 56 · Pre-op care only | $2.24 | $2.24 | $28.84 |
Where Wisconsin sits
The same service costs 2.8 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· 5th of 51
$40.74
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.