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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $275.42 | Professional | None | $56.23 | $56.23 | $275.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $288.40 Typical High $602.56 | Professional | None | $165.96 | $288.40 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $245.47 Typical High $389.05 | Facility | None | $199.53 | $245.47 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $223.87 | Professional | None | $89.13 | $125.89 | $223.87 |
DeanCare Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $117.49 | Facility | None | $52.48 | $52.48 | $117.49 |
DeanCare Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $1,148.15 | Facility | None | $52.48 | $52.48 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $1,288.25 | Professional | None | $52.48 | $52.48 | $1,288.25 |
Network Health Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Network Health Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $91.20 | Professional | None | $79.43 | $85.11 | $91.20 |
Prevea360 Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $117.49 | Facility | None | $52.48 | $52.48 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $398.11 | Professional | None | $141.25 | $194.98 | $398.11 |
Quartz Setting Facility Modifier None Typical Low $169.82 Median $389.05 Typical High $389.05 | Facility | None | $169.82 | $389.05 | $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 $70.79 Median $72.44 Typical High $87.10 | Professional | None | $70.79 | $72.44 | $87.10 |
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 $27.54 Median $27.54 Typical High $138.04 | Professional | 52 · Reduced service | $27.54 | $27.54 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $54.95 | Professional | 53 · Discontinued | $11.22 | $11.22 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $41.69 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $27.54 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $27.54 |
Where Wisconsin sits
The same service costs 18.6 times more in Wyoming than in Kentucky. 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· 2nd of 51
$151
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.