How much rates vary
Facilitymedian $1,778 · 10th to 90th $49 to $4,467Professionalmedian $39 · 10th to 90th $16 to $102
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 $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $302.00 | Professional | None | $22.39 | $22.39 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $41.69 Typical High $117.49 | Professional | None | $16.22 | $41.69 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $48.98 Typical High $74.13 | Facility | None | $43.65 | $48.98 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $22.39 Typical High $46.77 | Professional | None | $18.20 | $22.39 | $46.77 |
DeanCare Setting Facility Modifier None Typical Low $14.79 Median $18.20 Typical High $34.67 | Facility | None | $14.79 | $18.20 | $34.67 |
DeanCare Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $1,445.44 Typical High $2,041.74 | Facility | None | $33.11 | $1,445.44 | $2,041.74 |
Medica Setting Professional Modifier None Typical Low $20.42 Median $56.23 Typical High $102.33 | Professional | None | $20.42 | $56.23 | $102.33 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $2,344.23 | Facility | None | $831.76 | $1,819.70 | $2,344.23 |
Prevea360 Setting Facility Modifier None Typical Low $14.79 Median $18.20 Typical High $34.67 | Facility | None | $14.79 | $18.20 | $34.67 |
Quartz Setting Professional Modifier None Typical Low $38.90 Median $77.62 Typical High $89.13 | Professional | None | $38.90 | $77.62 | $89.13 |
Quartz Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Security Health Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Security Health Setting Professional Modifier None Typical Low $23.99 Median $83.18 Typical High $97.72 | Professional | None | $23.99 | $83.18 | $97.72 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $1,949.84 | Facility | None | $1,023.29 | $1,659.59 | $1,949.84 |
United Setting Professional Modifier None Typical Low $18.62 Median $35.48 Typical High $64.57 | Professional | None | $18.62 | $35.48 | $64.57 |
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 $11.22 Median $11.22 Typical High $151.36 | Professional | 52 · Reduced service | $11.22 | $11.22 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $60.26 | Professional | 53 · Discontinued | $4.47 | $4.47 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $3.39 Typical High $45.71 | Professional | 55 · Aftercare only | $3.39 | $3.39 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.24 Typical High $30.20 | Professional | 56 · Pre-op care only | $2.24 | $2.24 | $30.20 |
Where Wisconsin sits
The same service costs 19.1 times more in Indiana than in Delaware. 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
$46.77
IN $257DE $13.49
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.