How much rates vary
Facilitymedian $214 · 10th to 90th $105 to $389Professionalmedian $170 · 10th to 90th $89 to $955
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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $575.44 | Professional | None | $112.20 | $112.20 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $588.84 Typical High $1,071.52 | Professional | None | $354.81 | $588.84 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $199.53 Typical High $389.05 | Facility | None | $91.20 | $199.53 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $125.89 Typical High $316.23 | Professional | None | $38.02 | $125.89 | $316.23 |
DeanCare Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $234.42 | Facility | None | $107.15 | $107.15 | $234.42 |
DeanCare Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $478.63 Typical High $602.56 | Facility | None | $89.13 | $478.63 | $602.56 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $1,445.44 | Professional | None | $89.13 | $89.13 | $1,445.44 |
Network Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Network Health Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $245.47 | Professional | None | $144.54 | $154.88 | $245.47 |
Prevea360 Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $234.42 | Facility | None | $107.15 | $107.15 | $234.42 |
Quartz Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $416.87 | Professional | None | $141.25 | $199.53 | $416.87 |
Quartz Setting Facility Modifier None Typical Low $204.17 Median $288.40 Typical High $389.05 | Facility | None | $204.17 | $288.40 | $389.05 |
Quartz Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Security Health Setting Professional Modifier None Typical Low $144.54 Median $147.91 Typical High $177.83 | Professional | None | $144.54 | $147.91 | $177.83 |
The Alliance Setting Professional Modifier None Typical Low $165.96 Median $257.04 Typical High $263.03 | Professional | None | $165.96 | $257.04 | $263.03 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $173.78 | Professional | None | $125.89 | $125.89 | $173.78 |
4 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 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $288.40 | Professional | 52 · Reduced service | $56.23 | $56.23 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $117.49 | Professional | 53 · Discontinued | $22.39 | $22.39 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $87.10 | Professional | 55 · Aftercare only | $16.98 | $16.98 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $57.54 | Professional | 56 · Pre-op care only | $11.22 | $11.22 | $57.54 |
Where Wisconsin sits
The same service costs 6.0 times more in Wyoming than in Montana. 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· 3rd of 51
$170
WY $479MT $79.43
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.