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 $478.63 Median $478.63 Typical High $1,071.52 | Facility | None | $478.63 | $478.63 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $1,348.96 | Professional | None | $478.63 | $478.63 | $1,348.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $1,000.00 | Facility | None | $588.84 | $588.84 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $512.86 Typical High $691.83 | Professional | None | $467.74 | $512.86 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,122.02 Typical High $1,412.54 | Facility | None | $691.83 | $1,122.02 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $851.14 | Professional | None | $467.74 | $588.84 | $851.14 |
DeanCare Setting Facility Modifier None Typical Low $223.87 Median $478.63 Typical High $630.96 | Facility | None | $223.87 | $478.63 | $630.96 |
DeanCare Setting Professional Modifier None Typical Low $102.33 Median $954.99 Typical High $954.99 | Professional | None | $102.33 | $954.99 | $954.99 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $489.78 Typical High $630.96 | Facility | None | $223.87 | $489.78 | $630.96 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $549.54 Typical High $954.99 | Professional | None | $489.78 | $549.54 | $954.99 |
Network Health Setting Facility Modifier None Typical Low $363.08 Median $436.52 Typical High $436.52 | Facility | None | $363.08 | $436.52 | $436.52 |
Prevea360 Setting Facility Modifier None Typical Low $223.87 Median $478.63 Typical High $630.96 | Facility | None | $223.87 | $478.63 | $630.96 |
Prevea360 Setting Professional Modifier None Typical Low $102.33 Median $954.99 Typical High $954.99 | Professional | None | $102.33 | $954.99 | $954.99 |
Quartz Setting Professional Modifier None Typical Low $467.74 Median $741.31 Typical High $1,202.26 | Professional | None | $467.74 | $741.31 | $1,202.26 |
Quartz Setting Facility Modifier None Typical Low $776.25 Median $1,412.54 Typical High $1,412.54 | Facility | None | $776.25 | $1,412.54 | $1,412.54 |
Quartz Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Security Health Setting Professional Modifier None Typical Low $257.04 Median $630.96 Typical High $776.25 | Professional | None | $257.04 | $630.96 | $776.25 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $467.74 Median $512.86 Typical High $691.83 | Professional | None | $467.74 | $512.86 | $691.83 |
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 $72.44 Median $72.44 Typical High $204.17 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $134.90 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $134.90 |
Where Wisconsin sits
The same service costs 3.9 times more in Alabama than in Oklahoma. 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· 12th of 51
$550
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.