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 $0.79 Median $0.79 Typical High $0.79 | Facility | None | $0.79 | $0.79 | $0.79 |
Aetna Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $10.96 | Professional | None | $0.79 | $0.79 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.87 Median $0.98 Typical High $1.45 | Facility | None | $0.87 | $0.98 | $1.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.81 Median $0.81 Typical High $1.10 | Professional | None | $0.81 | $0.81 | $1.10 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $3.09 Typical High $4.57 | Facility | None | $2.69 | $3.09 | $4.57 |
Cigna Setting Professional Modifier None Typical Low $1.12 Median $1.66 Typical High $5.89 | Professional | None | $1.12 | $1.66 | $5.89 |
DeanCare Setting Facility Modifier None Typical Low $0.69 Median $0.85 Typical High $1.23 | Facility | None | $0.69 | $0.85 | $1.23 |
DeanCare Setting Professional Modifier None Typical Low $0.54 Median $0.54 Typical High $0.54 | Professional | None | $0.54 | $0.54 | $0.54 |
Medica Setting Facility Modifier None Typical Low $0.69 Median $0.85 Typical High $89.13 | Facility | None | $0.69 | $0.85 | $89.13 |
Medica Setting Professional Modifier None Typical Low $0.47 Median $1.45 Typical High $4.07 | Professional | None | $0.47 | $1.45 | $4.07 |
Network Health Setting Professional Modifier None Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | None | $1.55 | $1.55 | $1.55 |
Prevea360 Setting Facility Modifier None Typical Low $0.69 Median $0.85 Typical High $1.23 | Facility | None | $0.69 | $0.85 | $1.23 |
Prevea360 Setting Professional Modifier None Typical Low $0.54 Median $0.54 Typical High $0.54 | Professional | None | $0.54 | $0.54 | $0.54 |
Quartz Setting Professional Modifier None Typical Low $1.12 Median $1.62 Typical High $2.51 | Professional | None | $1.12 | $1.62 | $2.51 |
Quartz Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | None | $5.89 | $5.89 | $5.89 |
Security Health Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | None | $1.12 | $1.12 | $1.12 |
Security Health Setting Facility Modifier None Typical Low $0.98 Median $0.98 Typical High $0.98 | Facility | None | $0.98 | $0.98 | $0.98 |
Security Health Setting Professional Modifier None Typical Low $0.98 Median $1.12 Typical High $1.48 | Professional | None | $0.98 | $1.12 | $1.48 |
United Setting Professional Modifier None Typical Low $0.34 Median $1.26 Typical High $4.07 | Professional | None | $0.34 | $1.26 | $4.07 |
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 $0.12 Median $0.12 Typical High $1.66 | Professional | 55 · Aftercare only | $0.12 | $0.12 | $1.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $1.10 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $1.10 |
Where Wisconsin sits
The same service costs 3.6 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· 29th of 51
$0.87
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.