How much rates vary
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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $52.48 | Professional | None | $17.38 | $17.38 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $21.38 Typical High $31.62 | Facility | None | $19.50 | $21.38 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $23.99 | Professional | None | $17.78 | $17.78 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $58.88 Typical High $87.10 | Facility | None | $51.29 | $58.88 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $26.92 Typical High $36.31 | Professional | None | $16.98 | $26.92 | $36.31 |
DeanCare Setting Facility Modifier None Typical Low $15.14 Median $15.49 Typical High $19.95 | Facility | None | $15.14 | $15.49 | $19.95 |
DeanCare Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $18.62 Typical High $91.20 | Facility | None | $15.14 | $18.62 | $91.20 |
Medica Setting Professional Modifier None Typical Low $10.47 Median $33.11 Typical High $89.13 | Professional | None | $10.47 | $33.11 | $89.13 |
Network Health Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Prevea360 Setting Facility Modifier None Typical Low $15.14 Median $15.49 Typical High $19.95 | Facility | None | $15.14 | $15.49 | $19.95 |
Prevea360 Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Quartz Setting Professional Modifier None Typical Low $20.42 Median $29.51 Typical High $46.77 | Professional | None | $20.42 | $29.51 | $46.77 |
Quartz Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Security Health Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Security Health Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Security Health Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $32.36 | Professional | None | $21.38 | $25.12 | $32.36 |
United Setting Professional Modifier None Typical Low $7.24 Median $28.84 Typical High $89.13 | Professional | None | $7.24 | $28.84 | $89.13 |
2 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 55 · Aftercare only Typical Low $2.57 Median $2.57 Typical High $7.76 | Professional | 55 · Aftercare only | $2.57 | $2.57 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $1.74 Typical High $5.25 | Professional | 56 · Pre-op care only | $1.74 | $1.74 | $5.25 |
Where Wisconsin sits
The same service costs 3.5 times more in Florida than in Alabama. 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· 21st of 51
$19.50
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.