How much rates vary
Facilitymedian $72 · 10th to 90th $51 to $240Professionalmedian $132 · 10th to 90th $59 to $240
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 $213.80 | Professional | None | $51.29 | $69.18 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $158.49 Typical High $234.42 | Professional | None | $79.43 | $158.49 | $234.42 |
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 $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 $138.04 Typical High $288.40 | Professional | None | $89.13 | $138.04 | $288.40 |
DeanCare Setting Facility Modifier None Typical Low $72.44 Median $89.13 Typical High $162.18 | Facility | None | $72.44 | $89.13 | $162.18 |
DeanCare Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $229.09 | Professional | None | $147.91 | $165.96 | $229.09 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $89.13 Typical High $398.11 | Facility | None | $72.44 | $89.13 | $398.11 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $173.78 Typical High $478.63 | Professional | None | $81.28 | $173.78 | $478.63 |
Network Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $144.54 | Facility | None | $104.71 | $104.71 | $144.54 |
Network Health Setting Professional Modifier None Typical Low $74.13 Median $131.83 Typical High $208.93 | Professional | None | $74.13 | $131.83 | $208.93 |
Prevea360 Setting Facility Modifier None Typical Low $72.44 Median $89.13 Typical High $162.18 | Facility | None | $72.44 | $89.13 | $162.18 |
Quartz Setting Professional Modifier None Typical Low $83.18 Median $169.82 Typical High $239.88 | Professional | None | $83.18 | $169.82 | $239.88 |
Quartz Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $208.93 | Professional | None | $89.13 | $89.13 | $208.93 |
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 $234.42 Typical High $281.84 | Professional | None | $123.03 | $234.42 | $281.84 |
The Alliance Setting Professional Modifier None Typical Low $107.15 Median $162.18 Typical High $199.53 | Professional | None | $107.15 | $162.18 | $199.53 |
United Setting Professional Modifier None Typical Low $74.13 Median $141.25 Typical High $199.53 | Professional | None | $74.13 | $141.25 | $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 $34.67 Median $34.67 Typical High $190.55 | Professional | 52 · Reduced service | $34.67 | $34.67 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $57.54 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $38.02 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $38.02 |
Where Wisconsin sits
The same service costs 2.3 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
$129
AK $155NJ $67.61
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.