How much rates vary
Facilitymedian $87 · 10th to 90th $62 to $288Professionalmedian $200 · 10th to 90th $78 to $417
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 $61.66 Median $69.18 Typical High $81.28 | Facility | None | $61.66 | $69.18 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $81.28 Typical High $645.65 | Professional | None | $61.66 | $81.28 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $234.42 Typical High $380.19 | Professional | None | $117.49 | $234.42 | $380.19 |
CareSource Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $288.40 Typical High $426.58 | Facility | None | $251.19 | $288.40 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $173.78 Typical High $354.81 | Professional | None | $107.15 | $173.78 | $354.81 |
DeanCare Setting Facility Modifier None Typical Low $87.10 Median $107.15 Typical High $263.03 | Facility | None | $87.10 | $107.15 | $263.03 |
DeanCare Setting Professional Modifier None Typical Low $177.83 Median $199.53 Typical High $309.03 | Professional | None | $177.83 | $199.53 | $309.03 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $107.15 Typical High $263.03 | Facility | None | $87.10 | $107.15 | $263.03 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $316.23 Typical High $794.33 | Professional | None | $144.54 | $316.23 | $794.33 |
Network Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $263.03 | Facility | None | $190.55 | $190.55 | $263.03 |
Network Health Setting Professional Modifier None Typical Low $134.90 Median $245.47 Typical High $275.42 | Professional | None | $134.90 | $245.47 | $275.42 |
Prevea360 Setting Facility Modifier None Typical Low $87.10 Median $107.15 Typical High $263.03 | Facility | None | $87.10 | $107.15 | $263.03 |
Quartz Setting Professional Modifier None Typical Low $97.72 Median $208.93 Typical High $346.74 | Professional | None | $97.72 | $208.93 | $346.74 |
Quartz Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $257.04 | Professional | None | $107.15 | $107.15 | $257.04 |
Security Health Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Security Health Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $537.03 | Professional | None | $245.47 | $331.13 | $537.03 |
The Alliance Setting Professional Modifier None Typical Low $131.83 Median $218.78 Typical High $380.19 | Professional | None | $131.83 | $218.78 | $380.19 |
United Setting Professional Modifier None Typical Low $128.82 Median $251.19 Typical High $363.08 | Professional | None | $128.82 | $251.19 | $363.08 |
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 $40.74 Median $40.74 Typical High $346.74 | Professional | 52 · Reduced service | $40.74 | $40.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $104.71 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.13 Typical High $69.18 | Professional | 56 · Pre-op care only | $8.13 | $8.13 | $69.18 |
Where Wisconsin sits
The same service costs 2.0 times more in Alaska than in Washington, DC. 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· 3rd of 51
$200
AK $209DC $102
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.