How much rates vary
Facilitymedian $3,631 · 10th to 90th $490 to $7,943Professionalmedian $275 · 10th to 90th $115 to $427
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 $93.33 Median $114.82 Typical High $114.82 | Facility | None | $93.33 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $1,380.38 | Professional | None | $97.72 | $114.82 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $4,786.30 Typical High $7,585.78 | Facility | None | $2,818.38 | $4,786.30 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $302.00 Typical High $426.58 | Professional | None | $120.23 | $302.00 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $831.76 Typical High $4,365.16 | Facility | None | $245.47 | $831.76 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $204.17 Typical High $331.13 | Professional | None | $134.90 | $204.17 | $331.13 |
DeanCare Setting Facility Modifier None Typical Low $112.20 Median $2,818.38 Typical High $5,128.61 | Facility | None | $112.20 | $2,818.38 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $169.82 Median $251.19 Typical High $338.84 | Professional | None | $169.82 | $251.19 | $338.84 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $3,162.28 Typical High $8,317.64 | Facility | None | $691.83 | $3,162.28 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $117.49 Median $281.84 Typical High $489.78 | Professional | None | $117.49 | $281.84 | $489.78 |
Network Health Setting Facility Modifier None Typical Low $1,737.80 Median $5,754.40 Typical High $7,762.47 | Facility | None | $1,737.80 | $5,754.40 | $7,762.47 |
Network Health Setting Professional Modifier None Typical Low $141.25 Median $239.88 Typical High $316.23 | Professional | None | $141.25 | $239.88 | $316.23 |
Prevea360 Setting Facility Modifier None Typical Low $87.10 Median $114.82 Typical High $208.93 | Facility | None | $87.10 | $114.82 | $208.93 |
Quartz Setting Professional Modifier None Typical Low $104.71 Median $218.78 Typical High $416.87 | Professional | None | $104.71 | $218.78 | $416.87 |
Quartz Setting Facility Modifier None Typical Low $630.96 Median $2,884.03 Typical High $4,786.30 | Facility | None | $630.96 | $2,884.03 | $4,786.30 |
Quartz Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $269.15 | Professional | None | $134.90 | $134.90 | $269.15 |
Security Health Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Security Health Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $398.11 | Professional | None | $199.53 | $302.00 | $398.11 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $4,786.30 Typical High $8,709.64 | Facility | None | $1,071.52 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $95.50 Median $251.19 Typical High $446.68 | Professional | None | $95.50 | $251.19 | $446.68 |
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 $57.54 Median $57.54 Typical High $691.83 | Professional | 52 · Reduced service | $57.54 | $57.54 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $275.42 | Professional | 53 · Discontinued | $22.91 | $22.91 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $208.93 | Professional | 55 · Aftercare only | $17.38 | $17.38 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $138.04 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $138.04 |
Where Wisconsin sits
The same service costs 7.9 times more in Kansas than in New York. 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· 4th of 51
$331
KS $832NY $105
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.