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 $30.90 Median $35.48 Typical High $41.69 | Facility | None | $30.90 | $35.48 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $204.17 | Professional | None | $30.90 | $41.69 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $87.10 Typical High $131.83 | Professional | None | $46.77 | $87.10 | $131.83 |
CareSource Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $144.54 Typical High $213.80 | Facility | None | $125.89 | $144.54 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $81.28 Typical High $165.96 | Professional | None | $53.70 | $81.28 | $165.96 |
DeanCare Setting Facility Modifier None Typical Low $43.65 Median $53.70 Typical High $97.72 | Facility | None | $43.65 | $53.70 | $97.72 |
DeanCare Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $134.90 | Professional | None | $91.20 | $100.00 | $134.90 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $53.70 Typical High $97.72 | Facility | None | $43.65 | $53.70 | $97.72 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $93.33 Typical High $346.74 | Professional | None | $43.65 | $93.33 | $346.74 |
Network Health Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $77.62 | Facility | None | $56.23 | $56.23 | $77.62 |
Network Health Setting Professional Modifier None Typical Low $44.67 Median $72.44 Typical High $125.89 | Professional | None | $44.67 | $72.44 | $125.89 |
Prevea360 Setting Facility Modifier None Typical Low $43.65 Median $53.70 Typical High $97.72 | Facility | None | $43.65 | $53.70 | $97.72 |
Quartz Setting Professional Modifier None Typical Low $48.98 Median $100.00 Typical High $144.54 | Professional | None | $48.98 | $100.00 | $144.54 |
Quartz Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $128.82 | Professional | None | $53.70 | $53.70 | $128.82 |
Security Health Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Security Health Setting Professional Modifier None Typical Low $66.07 Median $128.82 Typical High $147.91 | Professional | None | $66.07 | $128.82 | $147.91 |
The Alliance Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $109.65 | Professional | None | $63.10 | $91.20 | $109.65 |
United Setting Professional Modifier None Typical Low $41.69 Median $77.62 Typical High $107.15 | Professional | None | $41.69 | $77.62 | $107.15 |
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 $20.89 Median $20.89 Typical High $109.65 | Professional | 52 · Reduced service | $20.89 | $20.89 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.17 Typical High $33.11 | Professional | 55 · Aftercare only | $6.17 | $6.17 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $21.88 | Professional | 56 · Pre-op care only | $4.17 | $4.17 | $21.88 |
Where Wisconsin sits
The same service costs 2.7 times more in Alaska than in New Jersey. 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· 7th of 51
$75.86
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.