How much rates vary
Facilitymedian $71 · 10th to 90th $50 to $234Professionalmedian $129 · 10th to 90th $58 to $245
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 $50.12 Median $56.23 Typical High $66.07 | Facility | None | $50.12 | $56.23 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $66.07 Typical High $323.59 | Professional | None | $50.12 | $66.07 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $154.88 Typical High $229.09 | Professional | None | $77.62 | $154.88 | $229.09 |
CareSource Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $234.42 Typical High $346.74 | Facility | None | $204.17 | $234.42 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $131.83 Typical High $288.40 | Professional | None | $87.10 | $131.83 | $288.40 |
DeanCare Setting Facility Modifier None Typical Low $70.79 Median $87.10 Typical High $158.49 | Facility | None | $70.79 | $87.10 | $158.49 |
DeanCare Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $229.09 | Professional | None | $144.54 | $162.18 | $229.09 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $87.10 Typical High $398.11 | Facility | None | $70.79 | $87.10 | $398.11 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $181.97 Typical High $467.74 | Professional | None | $77.62 | $181.97 | $467.74 |
Network Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $141.25 | Facility | None | $104.71 | $104.71 | $141.25 |
Network Health Setting Professional Modifier None Typical Low $72.44 Median $131.83 Typical High $204.17 | Professional | None | $72.44 | $131.83 | $204.17 |
Prevea360 Setting Facility Modifier None Typical Low $70.79 Median $87.10 Typical High $158.49 | Facility | None | $70.79 | $87.10 | $158.49 |
Quartz Setting Professional Modifier None Typical Low $77.62 Median $162.18 Typical High $234.42 | Professional | None | $77.62 | $162.18 | $234.42 |
Quartz Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $204.17 | Professional | None | $87.10 | $87.10 | $204.17 |
Security Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Security Health Setting Professional Modifier None Typical Low $123.03 Median $229.09 Typical High $275.42 | Professional | None | $123.03 | $229.09 | $275.42 |
The Alliance Setting Professional Modifier None Typical Low $100.00 Median $154.88 Typical High $199.53 | Professional | None | $100.00 | $154.88 | $199.53 |
United Setting Professional Modifier None Typical Low $70.79 Median $138.04 Typical High $199.53 | Professional | None | $70.79 | $138.04 | $199.53 |
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 $33.11 Median $33.11 Typical High $190.55 | Professional | 52 · Reduced service | $33.11 | $33.11 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $56.23 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $38.02 | Professional | 56 · Pre-op care only | $6.61 | $6.61 | $38.02 |
Where Wisconsin sits
The same service costs 2.4 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· 5th of 51
$129
AK $155AL $64.57
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.