How much rates vary
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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $67.61 | Professional | None | $28.84 | $34.67 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $53.70 Typical High $81.28 | Facility | None | $48.98 | $53.70 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $54.95 | Professional | None | $45.71 | $45.71 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $151.36 Typical High $223.87 | Facility | None | $134.90 | $151.36 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $54.95 Typical High $81.28 | Professional | None | $28.84 | $54.95 | $81.28 |
DeanCare Setting Facility Modifier None Typical Low $30.20 Median $47.86 Typical High $50.12 | Facility | None | $30.20 | $47.86 | $50.12 |
DeanCare Setting Professional Modifier None Typical Low $42.66 Median $91.20 Typical High $104.71 | Professional | None | $42.66 | $91.20 | $104.71 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $47.86 Typical High $97.72 | Facility | None | $38.02 | $47.86 | $97.72 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $34.67 Typical High $239.88 | Professional | None | $25.12 | $34.67 | $239.88 |
Network Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Network Health Setting Professional Modifier None Typical Low $43.65 Median $50.12 Typical High $95.50 | Professional | None | $43.65 | $50.12 | $95.50 |
Prevea360 Setting Facility Modifier None Typical Low $30.20 Median $47.86 Typical High $50.12 | Facility | None | $30.20 | $47.86 | $50.12 |
Prevea360 Setting Professional Modifier None Typical Low $36.31 Median $47.86 Typical High $47.86 | Professional | None | $36.31 | $47.86 | $47.86 |
Quartz Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $120.23 | Professional | None | $52.48 | $74.13 | $120.23 |
Quartz Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Security Health Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Security Health Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $63.10 | Professional | None | $48.98 | $48.98 | $63.10 |
United Setting Professional Modifier None Typical Low $18.62 Median $30.20 Typical High $46.77 | Professional | None | $18.62 | $30.20 | $46.77 |
2 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 55 · Aftercare only Typical Low $5.13 Median $5.13 Typical High $10.00 | Professional | 55 · Aftercare only | $5.13 | $5.13 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.47 Typical High $6.76 | Professional | 56 · Pre-op care only | $3.47 | $3.47 | $6.76 |
Where Wisconsin sits
The same service costs 5.5 times more in Wyoming than in Utah. 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· 11th of 51
$45.71
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.