How much rates vary
Facilitymedian $74 · 10th to 90th $51 to $240Professionalmedian $162 · 10th to 90th $62 to $324
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 $51.29 Median $58.88 Typical High $69.18 | Facility | None | $51.29 | $58.88 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $489.78 | Professional | None | $51.29 | $69.18 | $489.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $186.21 Typical High $288.40 | Professional | None | $97.72 | $186.21 | $288.40 |
CareSource Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $239.88 Typical High $363.08 | Facility | None | $213.80 | $239.88 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $134.90 Typical High $295.12 | Professional | None | $89.13 | $134.90 | $295.12 |
DeanCare Setting Facility Modifier None Typical Low $74.13 Median $89.13 Typical High $199.53 | Facility | None | $74.13 | $89.13 | $199.53 |
DeanCare Setting Professional Modifier None Typical Low $151.36 Median $165.96 Typical High $239.88 | Professional | None | $151.36 | $165.96 | $239.88 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $89.13 Typical High $199.53 | Facility | None | $74.13 | $89.13 | $199.53 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $239.88 Typical High $616.60 | Professional | None | $102.33 | $239.88 | $616.60 |
Network Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $199.53 | Facility | None | $144.54 | $144.54 | $199.53 |
Network Health Setting Professional Modifier None Typical Low $74.13 Median $181.97 Typical High $218.78 | Professional | None | $74.13 | $181.97 | $218.78 |
Prevea360 Setting Facility Modifier None Typical Low $74.13 Median $89.13 Typical High $199.53 | Facility | None | $74.13 | $89.13 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $83.18 Median $169.82 Typical High $251.19 | Professional | None | $83.18 | $169.82 | $251.19 |
Quartz Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $213.80 | Professional | None | $89.13 | $89.13 | $213.80 |
Security Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Security Health Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $389.05 | Professional | None | $169.82 | $234.42 | $389.05 |
The Alliance Setting Professional Modifier None Typical Low $104.71 Median $186.21 Typical High $275.42 | Professional | None | $104.71 | $186.21 | $275.42 |
United Setting Professional Modifier None Typical Low $89.13 Median $190.55 Typical High $275.42 | Professional | None | $89.13 | $190.55 | $275.42 |
3 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 $34.67 Median $34.67 Typical High $338.84 | Professional | 52 · Reduced service | $34.67 | $34.67 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $102.33 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $67.61 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $67.61 |
Where Wisconsin sits
The same service costs 2.3 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· 2nd of 51
$158
AK $174AL $74.13
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.