How much rates vary
Facilitymedian $81 · 10th to 90th $55 to $174Professionalmedian $59 · 10th to 90th $55 to $129
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 $58.88 Median $58.88 Typical High $125.89 | Facility | None | $58.88 | $58.88 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $173.78 | Professional | None | $58.88 | $58.88 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $165.96 | Professional | None | $56.23 | $64.57 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $134.90 Typical High $173.78 | Facility | None | $81.28 | $134.90 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $102.33 | Professional | None | $56.23 | $63.10 | $102.33 |
DeanCare Setting Facility Modifier None Typical Low $26.30 Median $54.95 Typical High $54.95 | Facility | None | $26.30 | $54.95 | $54.95 |
DeanCare Setting Professional Modifier None Typical Low $14.79 Median $109.65 Typical High $109.65 | Professional | None | $14.79 | $109.65 | $109.65 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $54.95 Typical High $54.95 | Facility | None | $26.30 | $54.95 | $54.95 |
Medica Setting Professional Modifier None Typical Low $21.88 Median $54.95 Typical High $75.86 | Professional | None | $21.88 | $54.95 | $75.86 |
Network Health Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Network Health Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $64.57 | Professional | None | $51.29 | $56.23 | $64.57 |
Prevea360 Setting Facility Modifier None Typical Low $26.30 Median $54.95 Typical High $54.95 | Facility | None | $26.30 | $54.95 | $54.95 |
Prevea360 Setting Professional Modifier None Typical Low $14.79 Median $109.65 Typical High $109.65 | Professional | None | $14.79 | $109.65 | $109.65 |
Quartz Setting Professional Modifier None Typical Low $56.23 Median $87.10 Typical High $141.25 | Professional | None | $56.23 | $87.10 | $141.25 |
Quartz Setting Facility Modifier None Typical Low $75.86 Median $173.78 Typical High $173.78 | Facility | None | $75.86 | $173.78 | $173.78 |
Quartz Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Security Health Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $93.33 | Professional | None | $58.88 | $75.86 | $93.33 |
United Setting Professional Modifier None Typical Low $21.88 Median $54.95 Typical High $75.86 | Professional | None | $21.88 | $54.95 | $75.86 |
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 $29.51 Median $29.51 Typical High $85.11 | Professional | 52 · Reduced service | $29.51 | $29.51 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $34.67 | Professional | 53 · Discontinued | $11.75 | $11.75 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $25.70 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $17.38 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $17.38 |
Where Wisconsin sits
The same service costs 1.6 times more in Alaska than in Louisiana. 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· 5th of 51
$58.88
AK $83.18LA $52.48
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.