How much rates vary
Facilitymedian $37 · 10th to 90th $22 to $117Professionalmedian $47 · 10th to 90th $26 to $112
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 $22.39 Median $31.62 Typical High $37.15 | Facility | None | $22.39 | $31.62 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $34.67 Typical High $44.67 | Professional | None | $22.39 | $34.67 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $52.48 Typical High $100.00 | Professional | None | $28.18 | $52.48 | $100.00 |
CareSource Setting Professional Modifier None Typical Low $34.67 Median $44.67 Typical High $53.70 | Professional | None | $34.67 | $44.67 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $117.49 Typical High $177.83 | Facility | None | $104.71 | $117.49 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $42.66 Typical High $89.13 | Professional | None | $26.30 | $42.66 | $89.13 |
DeanCare Setting Facility Modifier None Typical Low $22.91 Median $37.15 Typical High $75.86 | Facility | None | $22.91 | $37.15 | $75.86 |
DeanCare Setting Professional Modifier None Typical Low $41.69 Median $67.61 Typical High $85.11 | Professional | None | $41.69 | $67.61 | $85.11 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $37.15 Typical High $75.86 | Facility | None | $22.91 | $37.15 | $75.86 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $151.36 Typical High $245.47 | Professional | None | $44.67 | $151.36 | $245.47 |
Network Health Setting Professional Modifier None Typical Low $48.98 Median $60.26 Typical High $72.44 | Professional | None | $48.98 | $60.26 | $72.44 |
Prevea360 Setting Facility Modifier None Typical Low $22.91 Median $37.15 Typical High $75.86 | Facility | None | $22.91 | $37.15 | $75.86 |
Quartz Setting Professional Modifier None Typical Low $32.36 Median $57.54 Typical High $102.33 | Professional | None | $32.36 | $57.54 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $26.30 Median $42.66 Typical High $48.98 | Professional | None | $26.30 | $42.66 | $48.98 |
Security Health Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $64.57 | Professional | None | $39.81 | $39.81 | $64.57 |
Security Health Setting Professional Modifier None Typical Low $36.31 Median $67.61 Typical High $114.82 | Professional | None | $36.31 | $67.61 | $114.82 |
The Alliance Setting Professional Modifier None Typical Low $30.90 Median $57.54 Typical High $91.20 | Professional | None | $30.90 | $57.54 | $91.20 |
United Setting Professional Modifier None Typical Low $27.54 Median $45.71 Typical High $89.13 | Professional | None | $27.54 | $45.71 | $89.13 |
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 $11.22 Median $11.22 Typical High $18.62 | Facility | 52 · Reduced service | $11.22 | $11.22 | $18.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.39 Median $3.39 Typical High $5.62 | Facility | 55 · Aftercare only | $3.39 | $3.39 | $5.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.24 Typical High $3.72 | Facility | 56 · Pre-op care only | $2.24 | $2.24 | $3.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $17.78 Typical High $19.05 | Professional | 52 · Reduced service | $11.22 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $5.37 Typical High $5.62 | Professional | 55 · Aftercare only | $3.39 | $5.37 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $3.55 Typical High $3.80 | Professional | 56 · Pre-op care only | $2.24 | $3.55 | $3.80 |
Where Wisconsin sits
The same service costs 2.8 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· 9th of 51
$45.71
AK $66.07DC $23.99
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.