How much rates vary
Facilitymedian $257 · 10th to 90th $132 to $562Professionalmedian $166 · 10th to 90th $138 to $316
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $851.14 | Professional | None | $138.04 | $138.04 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $281.84 Typical High $316.23 | Facility | None | $257.04 | $281.84 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $151.36 Typical High $177.83 | Professional | None | $138.04 | $151.36 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $338.84 Typical High $562.34 | Facility | None | $245.47 | $338.84 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $354.81 | Professional | None | $173.78 | $190.55 | $354.81 |
DeanCare Setting Facility Modifier None Typical Low $120.23 Median $134.90 Typical High $213.80 | Facility | None | $120.23 | $134.90 | $213.80 |
DeanCare Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $131.83 Typical High $213.80 | Facility | None | $120.23 | $131.83 | $213.80 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $229.09 | Professional | None | $131.83 | $181.97 | $229.09 |
Network Health Setting Facility Modifier None Typical Low $131.83 Median $144.54 Typical High $194.98 | Facility | None | $131.83 | $144.54 | $194.98 |
Prevea360 Setting Facility Modifier None Typical Low $120.23 Median $134.90 Typical High $213.80 | Facility | None | $120.23 | $134.90 | $213.80 |
Prevea360 Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Quartz Setting Professional Modifier None Typical Low $138.04 Median $223.87 Typical High $354.81 | Professional | None | $138.04 | $223.87 | $354.81 |
Quartz Setting Facility Modifier None Typical Low $245.47 Median $562.34 Typical High $562.34 | Facility | None | $245.47 | $562.34 | $562.34 |
Quartz Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Security Health Setting Professional Modifier None Typical Low $125.89 Median $186.21 Typical High $229.09 | Professional | None | $125.89 | $186.21 | $229.09 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
United Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $239.88 | Professional | None | $141.25 | $177.83 | $239.88 |
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 $69.18 Median $69.18 Typical High $426.58 | Professional | 52 · Reduced service | $69.18 | $69.18 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $169.82 | Professional | 53 · Discontinued | $27.54 | $27.54 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $128.82 | Professional | 55 · Aftercare only | $20.42 | $20.42 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $85.11 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $85.11 |
Where Wisconsin sits
The same service costs 1.8 times more in Arizona than in Rhode Island. 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· 25th of 51
$166
AZ $245RI $138
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.