How much rates vary
Facilitymedian $141 · 10th to 90th $105 to $191Professionalmedian $178 · 10th to 90th $120 to $479
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 $104.71 Median $125.89 Typical High $165.96 | Facility | None | $104.71 | $125.89 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $169.82 | Professional | None | $104.71 | $138.04 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $218.78 Typical High $416.87 | Professional | None | $134.90 | $218.78 | $416.87 |
CareSource Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $229.09 | Professional | None | $147.91 | $190.55 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $354.81 | Professional | None | $147.91 | $177.83 | $354.81 |
DeanCare Setting Facility Modifier None Typical Low $138.04 Median $165.96 Typical High $331.13 | Facility | None | $138.04 | $165.96 | $331.13 |
DeanCare Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $407.38 | Professional | None | $234.42 | $288.40 | $407.38 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $165.96 Typical High $331.13 | Facility | None | $138.04 | $165.96 | $331.13 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $660.69 Typical High $1,122.02 | Professional | None | $190.55 | $660.69 | $1,122.02 |
Network Health Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $416.87 | Professional | None | $281.84 | $331.13 | $416.87 |
Prevea360 Setting Facility Modifier None Typical Low $138.04 Median $165.96 Typical High $331.13 | Facility | None | $138.04 | $165.96 | $331.13 |
Quartz Setting Professional Modifier None Typical Low $177.83 Median $323.59 Typical High $478.63 | Professional | None | $177.83 | $323.59 | $478.63 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $218.78 | Professional | None | $147.91 | $177.83 | $218.78 |
Security Health Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $331.13 | Professional | None | $275.42 | $275.42 | $331.13 |
Security Health Setting Professional Modifier None Typical Low $257.04 Median $416.87 Typical High $537.03 | Professional | None | $257.04 | $416.87 | $537.03 |
The Alliance Setting Professional Modifier None Typical Low $190.55 Median $309.03 Typical High $436.52 | Professional | None | $190.55 | $309.03 | $436.52 |
United Setting Professional Modifier None Typical Low $158.49 Median $234.42 Typical High $446.68 | Professional | None | $158.49 | $234.42 | $446.68 |
6 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 Facility Modifier 52 · Reduced service Typical Low $69.18 Median $77.62 Typical High $83.18 | Facility | 52 · Reduced service | $69.18 | $77.62 | $83.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $20.89 Median $23.44 Typical High $25.12 | Facility | 55 · Aftercare only | $20.89 | $23.44 | $25.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.80 Median $15.49 Typical High $16.60 | Facility | 56 · Pre-op care only | $13.80 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $83.18 Typical High $87.10 | Professional | 52 · Reduced service | $69.18 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $25.12 Typical High $26.30 | Professional | 55 · Aftercare only | $20.89 | $25.12 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $16.60 Typical High $17.38 | Professional | 56 · Pre-op care only | $13.80 | $16.60 | $17.38 |
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· 19th of 51
$178
AK $288AL $123
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.