How much rates vary
Facilitymedian $158 · 10th to 90th $117 to $490Professionalmedian $214 · 10th to 90th $126 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 $117.49 Median $117.49 Typical High $158.49 | Facility | None | $117.49 | $117.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $147.91 Typical High $229.09 | Professional | None | $117.49 | $147.91 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $245.47 Typical High $436.52 | Professional | None | $144.54 | $245.47 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $489.78 Typical High $741.31 | Facility | None | $436.52 | $489.78 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $181.97 Typical High $363.08 | Professional | None | $134.90 | $181.97 | $363.08 |
DeanCare Setting Facility Modifier None Typical Low $117.49 Median $154.88 Typical High $323.59 | Facility | None | $117.49 | $154.88 | $323.59 |
DeanCare Setting Professional Modifier None Typical Low $218.78 Median $288.40 Typical High $371.54 | Professional | None | $218.78 | $288.40 | $371.54 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $165.96 Typical High $338.84 | Facility | None | $117.49 | $165.96 | $338.84 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $776.25 Typical High $1,023.29 | Professional | None | $186.21 | $776.25 | $1,023.29 |
Network Health Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $331.13 | Professional | None | $239.88 | $275.42 | $331.13 |
Prevea360 Setting Facility Modifier None Typical Low $117.49 Median $154.88 Typical High $323.59 | Facility | None | $117.49 | $154.88 | $323.59 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $288.40 Typical High $457.09 | Professional | None | $165.96 | $288.40 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $218.78 | Professional | None | $134.90 | $177.83 | $218.78 |
Security Health Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $269.15 | Professional | None | $208.93 | $208.93 | $269.15 |
Security Health Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $457.09 | Professional | None | $213.80 | $281.84 | $457.09 |
The Alliance Setting Professional Modifier None Typical Low $154.88 Median $269.15 Typical High $398.11 | Professional | None | $154.88 | $269.15 | $398.11 |
United Setting Professional Modifier None Typical Low $134.90 Median $213.80 Typical High $389.05 | Professional | None | $134.90 | $213.80 | $389.05 |
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 $58.88 Median $58.88 Typical High $79.43 | Facility | 52 · Reduced service | $58.88 | $58.88 | $79.43 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $23.44 | Facility | 55 · Aftercare only | $17.78 | $17.78 | $23.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $15.85 | Facility | 56 · Pre-op care only | $11.75 | $11.75 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $74.13 Typical High $81.28 | Professional | 52 · Reduced service | $58.88 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $22.39 Typical High $24.55 | Professional | 55 · Aftercare only | $17.78 | $22.39 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $14.79 Typical High $16.22 | Professional | 56 · Pre-op care only | $11.75 | $14.79 | $16.22 |
Where Wisconsin sits
The same service costs 2.6 times more in Alaska than in Florida. 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· 9th of 51
$214
AK $316FL $120
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.