How much rates vary
Facilitymedian $126 · 10th to 90th $71 to $245Professionalmedian $83 · 10th to 90th $74 to $174
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 $75.86 Median $75.86 Typical High $87.10 | Facility | None | $75.86 | $75.86 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $213.80 | Professional | None | $75.86 | $75.86 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $151.36 Typical High $165.96 | Facility | None | $138.04 | $151.36 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $75.86 Typical High $109.65 | Professional | None | $74.13 | $75.86 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $181.97 Typical High $245.47 | Facility | None | $112.20 | $181.97 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $194.98 | Professional | None | $81.28 | $120.23 | $194.98 |
DeanCare Setting Facility Modifier None Typical Low $61.66 Median $70.79 Typical High $117.49 | Facility | None | $61.66 | $70.79 | $117.49 |
DeanCare Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $229.09 | Facility | None | $70.79 | $70.79 | $229.09 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $123.03 | Professional | None | $70.79 | $83.18 | $123.03 |
Network Health Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $107.15 | Facility | None | $74.13 | $74.13 | $107.15 |
Prevea360 Setting Facility Modifier None Typical Low $61.66 Median $70.79 Typical High $117.49 | Facility | None | $61.66 | $70.79 | $117.49 |
Prevea360 Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Quartz Setting Professional Modifier None Typical Low $75.86 Median $131.83 Typical High $194.98 | Professional | None | $75.86 | $131.83 | $194.98 |
Quartz Setting Facility Modifier None Typical Low $107.15 Median $245.47 Typical High $245.47 | Facility | None | $107.15 | $245.47 | $245.47 |
Quartz Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $144.54 | Professional | None | $81.28 | $81.28 | $144.54 |
Security Health Setting Professional Modifier None Typical Low $69.18 Median $102.33 Typical High $125.89 | Professional | None | $69.18 | $102.33 | $125.89 |
United Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
United Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $125.89 | Professional | None | $72.44 | $89.13 | $125.89 |
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 $37.15 Median $37.15 Typical High $107.15 | Professional | 52 · Reduced service | $37.15 | $37.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $43.65 | Professional | 53 · Discontinued | $15.14 | $15.14 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $32.36 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $21.38 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $21.38 |
Where Wisconsin sits
The same service costs 2.8 times more in Alaska 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· 8th of 51
$89.13
AK $112AL $39.81
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.