How much rates vary
Facilitymedian $4,169 · 10th to 90th $219 to $8,318Professionalmedian $2,344 · 10th to 90th $120 to $3,162
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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $2,454.71 Typical High $2,454.71 | Professional | None | $741.31 | $2,454.71 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,365.16 Median $4,677.35 Typical High $5,248.07 | Facility | None | $4,365.16 | $4,677.35 | $5,248.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $234.42 Typical High $2,398.83 | Professional | None | $104.71 | $234.42 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $5,248.07 Typical High $8,317.64 | Facility | None | $3,630.78 | $5,248.07 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $2,238.72 Typical High $2,691.53 | Professional | None | $194.98 | $2,238.72 | $2,691.53 |
DeanCare Setting Facility Modifier None Typical Low $114.82 Median $218.78 Typical High $2,754.23 | Facility | None | $114.82 | $218.78 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $2,344.23 Typical High $2,754.23 | Facility | None | $114.82 | $2,344.23 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $2,754.23 Typical High $4,073.80 | Professional | None | $2,344.23 | $2,754.23 | $4,073.80 |
Network Health Setting Facility Modifier None Typical Low $2,137.96 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,137.96 | $2,398.83 | $2,398.83 |
Prevea360 Setting Facility Modifier None Typical Low $114.82 Median $218.78 Typical High $2,754.23 | Facility | None | $114.82 | $218.78 | $2,754.23 |
Quartz Setting Professional Modifier None Typical Low $141.25 Median $257.04 Typical High $323.59 | Professional | None | $141.25 | $257.04 | $323.59 |
Quartz Setting Facility Modifier None Typical Low $3,630.78 Median $8,317.64 Typical High $8,317.64 | Facility | None | $3,630.78 | $8,317.64 | $8,317.64 |
Quartz Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
Security Health Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $389.05 | Professional | None | $147.91 | $147.91 | $389.05 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $2,884.03 Typical High $4,265.80 | Professional | None | $2,511.89 | $2,884.03 | $4,265.80 |
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 $371.54 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $371.54 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $147.91 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $112.20 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $74.13 | $245.47 | $245.47 |
Where Wisconsin sits
The same service costs 25.1 times more in Arizona 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· 42nd of 51
$2,399
AZ $3,715MT $148
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.