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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $302.00 | Professional | None | $138.04 | $138.04 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $194.98 | Professional | None | $131.83 | $131.83 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $275.42 Typical High $446.68 | Facility | None | $194.98 | $275.42 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $138.04 Typical High $144.54 | Professional | None | $123.03 | $138.04 | $144.54 |
DeanCare Setting Facility Modifier None Typical Low $72.44 Median $128.82 Typical High $144.54 | Facility | None | $72.44 | $128.82 | $144.54 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $138.04 Typical High $199.53 | Facility | None | $72.44 | $138.04 | $199.53 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $208.93 | Professional | None | $120.23 | $134.90 | $208.93 |
Network Health Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Prevea360 Setting Facility Modifier None Typical Low $72.44 Median $128.82 Typical High $144.54 | Facility | None | $72.44 | $128.82 | $144.54 |
Quartz Setting Professional Modifier None Typical Low $89.13 Median $162.18 Typical High $199.53 | Professional | None | $89.13 | $162.18 | $199.53 |
Quartz Setting Facility Modifier None Typical Low $194.98 Median $446.68 Typical High $446.68 | Facility | None | $194.98 | $446.68 | $446.68 |
Quartz Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Security Health Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $138.04 | Professional | None | $93.33 | $112.20 | $138.04 |
United Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $223.87 | Professional | None | $131.83 | $147.91 | $223.87 |
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 $20.89 Median $20.89 Typical High $45.71 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $30.20 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $30.20 |
Where Wisconsin sits
The same service costs 4.1 times more in Colorado 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· 22nd of 51
$141
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.