How much rates vary
Facilitymedian $48 · 10th to 90th $32 to $98Professionalmedian $35 · 10th to 90th $32 to $63
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 $33.11 Median $33.11 Typical High $72.44 | Facility | None | $33.11 | $33.11 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $91.20 | Professional | None | $33.11 | $33.11 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $69.18 | Facility | None | $40.74 | $40.74 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $35.48 Typical High $48.98 | Professional | None | $32.36 | $35.48 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $50.12 Typical High $97.72 | Facility | None | $32.36 | $50.12 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $58.88 | Professional | None | $32.36 | $38.02 | $58.88 |
DeanCare Setting Facility Modifier None Typical Low $26.92 Median $31.62 Typical High $69.18 | Facility | None | $26.92 | $31.62 | $69.18 |
DeanCare Setting Professional Modifier None Typical Low $46.77 Median $63.10 Typical High $63.10 | Professional | None | $46.77 | $63.10 | $63.10 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $79.43 | Facility | None | $31.62 | $31.62 | $79.43 |
Medica Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $46.77 | Professional | None | $31.62 | $31.62 | $46.77 |
Network Health Setting Facility Modifier None Typical Low $31.62 Median $32.36 Typical High $32.36 | Facility | None | $31.62 | $32.36 | $32.36 |
Prevea360 Setting Facility Modifier None Typical Low $26.92 Median $31.62 Typical High $69.18 | Facility | None | $26.92 | $31.62 | $69.18 |
Prevea360 Setting Professional Modifier None Typical Low $46.77 Median $63.10 Typical High $63.10 | Professional | None | $46.77 | $63.10 | $63.10 |
Quartz Setting Professional Modifier None Typical Low $32.36 Median $50.12 Typical High $79.43 | Professional | None | $32.36 | $50.12 | $79.43 |
Quartz Setting Facility Modifier None Typical Low $42.66 Median $97.72 Typical High $97.72 | Facility | None | $42.66 | $97.72 | $97.72 |
Quartz Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Security Health Setting Professional Modifier None Typical Low $31.62 Median $43.65 Typical High $53.70 | Professional | None | $31.62 | $43.65 | $53.70 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $43.65 | Professional | None | $31.62 | $31.62 | $43.65 |
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 $16.60 Median $16.60 Typical High $45.71 | Professional | 52 · Reduced service | $16.60 | $16.60 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $18.20 | Professional | 53 · Discontinued | $6.61 | $6.61 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.01 Typical High $13.80 | Professional | 55 · Aftercare only | $5.01 | $5.01 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.31 Typical High $9.12 | Professional | 56 · Pre-op care only | $3.31 | $3.31 | $9.12 |
Where Wisconsin sits
The same service costs 2.0 times more in Alaska than in Oklahoma. 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· 11th of 51
$37.15
AK $58.88OK $29.51
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.