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 Professional Modifier None Typical Low $0.72 Median $0.72 Typical High $0.76 | Professional | None | $0.72 | $0.72 | $0.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | None | $1.51 | $1.51 | $1.51 |
Cigna Setting Facility Modifier None Typical Low $1.17 Median $2.29 Typical High $3.09 | Facility | None | $1.17 | $2.29 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $1.12 Typical High $1.45 | Professional | None | $0.76 | $1.12 | $1.45 |
DeanCare Setting Facility Modifier None Typical Low $0.89 Median $0.89 Typical High $0.89 | Facility | None | $0.89 | $0.89 | $0.89 |
DeanCare Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | None | $1.58 | $1.58 | $1.58 |
Medica Setting Facility Modifier None Typical Low $0.89 Median $0.89 Typical High $0.89 | Facility | None | $0.89 | $0.89 | $0.89 |
Medica Setting Professional Modifier None Typical Low $0.36 Median $0.89 Typical High $1.23 | Professional | None | $0.36 | $0.89 | $1.23 |
Prevea360 Setting Facility Modifier None Typical Low $0.89 Median $0.89 Typical High $0.89 | Facility | None | $0.89 | $0.89 | $0.89 |
Prevea360 Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | None | $1.58 | $1.58 | $1.58 |
Quartz Setting Facility Modifier None Typical Low $1.00 Median $2.29 Typical High $2.29 | Facility | None | $1.00 | $2.29 | $2.29 |
Quartz Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
Security Health Setting Professional Modifier None Typical Low $2.14 Median $2.51 Typical High $3.98 | Professional | None | $2.14 | $2.51 | $3.98 |
United Setting Professional Modifier None Typical Low $0.36 Median $0.89 Typical High $1.23 | Professional | None | $0.36 | $0.89 | $1.23 |
1 more rate 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 56 · Pre-op care only Typical Low $8.13 Median $8.71 Typical High $8.91 | Professional | 56 · Pre-op care only | $8.13 | $8.71 | $8.91 |
Where Wisconsin sits
The same service costs 3.1 times more in Kansas 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· 18th of 51
$0.89
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.