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 $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $50.12 | Professional | None | $12.30 | $12.30 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $15.14 Typical High $22.39 | Facility | None | $13.49 | $15.14 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $16.98 | Professional | None | $12.59 | $12.59 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $42.66 Typical High $64.57 | Facility | None | $38.02 | $42.66 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $19.50 Typical High $25.70 | Professional | None | $14.45 | $19.50 | $25.70 |
DeanCare Setting Facility Modifier None Typical Low $10.72 Median $10.96 Typical High $13.80 | Facility | None | $10.72 | $10.96 | $13.80 |
DeanCare Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $13.18 Typical High $85.11 | Facility | None | $10.72 | $13.18 | $85.11 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $23.99 Typical High $64.57 | Professional | None | $7.41 | $23.99 | $64.57 |
Network Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Prevea360 Setting Facility Modifier None Typical Low $10.72 Median $10.96 Typical High $13.80 | Facility | None | $10.72 | $10.96 | $13.80 |
Prevea360 Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Quartz Setting Professional Modifier None Typical Low $14.45 Median $20.89 Typical High $33.11 | Professional | None | $14.45 | $20.89 | $33.11 |
Quartz Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Security Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Security Health Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Security Health Setting Professional Modifier None Typical Low $10.96 Median $18.20 Typical High $23.99 | Professional | None | $10.96 | $18.20 | $23.99 |
United Setting Professional Modifier None Typical Low $5.13 Median $21.38 Typical High $64.57 | Professional | None | $5.13 | $21.38 | $64.57 |
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 $1.82 Median $1.82 Typical High $7.59 | Professional | 55 · Aftercare only | $1.82 | $1.82 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.23 Typical High $5.01 | Professional | 56 · Pre-op care only | $1.23 | $1.23 | $5.01 |
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· 31st of 51
$13.49
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.