How much rates vary
Facilitymedian $95 · 10th to 90th $72 to $309Professionalmedian $148 · 10th to 90th $87 to $324
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 $72.44 Median $72.44 Typical High $87.10 | Facility | None | $72.44 | $72.44 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $87.10 Typical High $104.71 | Professional | None | $72.44 | $87.10 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $154.88 Typical High $275.42 | Professional | None | $97.72 | $154.88 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $309.03 Typical High $457.09 | Facility | None | $269.15 | $309.03 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $239.88 | Professional | None | $93.33 | $114.82 | $239.88 |
DeanCare Setting Facility Modifier None Typical Low $72.44 Median $95.50 Typical High $162.18 | Facility | None | $72.44 | $95.50 | $162.18 |
DeanCare Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $245.47 | Professional | None | $151.36 | $186.21 | $245.47 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $380.19 | Facility | None | $72.44 | $100.00 | $380.19 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $537.03 Typical High $724.44 | Professional | None | $131.83 | $537.03 | $724.44 |
Network Health Setting Professional Modifier None Typical Low $169.82 Median $194.98 Typical High $218.78 | Professional | None | $169.82 | $194.98 | $218.78 |
Prevea360 Setting Facility Modifier None Typical Low $72.44 Median $95.50 Typical High $162.18 | Facility | None | $72.44 | $95.50 | $162.18 |
Quartz Setting Professional Modifier None Typical Low $112.20 Median $194.98 Typical High $302.00 | Professional | None | $112.20 | $194.98 | $302.00 |
Quartz Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $151.36 | Professional | None | $93.33 | $114.82 | $151.36 |
Security Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | None | $102.33 | $102.33 | $120.23 |
Security Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Security Health Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $309.03 | Professional | None | $120.23 | $162.18 | $309.03 |
United Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $251.19 | Professional | None | $100.00 | $147.91 | $251.19 |
6 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 $36.31 Median $36.31 Typical High $43.65 | Facility | 52 · Reduced service | $36.31 | $36.31 | $43.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $13.18 | Facility | 55 · Aftercare only | $10.72 | $10.72 | $13.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $8.71 | Facility | 56 · Pre-op care only | $7.24 | $7.24 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $43.65 Typical High $52.48 | Professional | 52 · Reduced service | $36.31 | $43.65 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $13.18 Typical High $15.49 | Professional | 55 · Aftercare only | $10.72 | $13.18 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $8.71 Typical High $10.47 | Professional | 56 · Pre-op care only | $7.24 | $8.71 | $10.47 |
Where Wisconsin sits
The same service costs 2.5 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· 10th of 51
$148
AK $204FL $81.28
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.