How much rates vary
Facilitymedian $316 · 10th to 90th $155 to $646Professionalmedian $214 · 10th to 90th $186 to $417
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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $724.44 | Professional | None | $194.98 | $194.98 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | None | $186.21 | $186.21 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $398.11 Typical High $645.65 | Facility | None | $316.23 | $398.11 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $426.58 | Professional | None | $208.93 | $229.09 | $426.58 |
DeanCare Setting Facility Modifier None Typical Low $114.82 Median $162.18 Typical High $251.19 | Facility | None | $114.82 | $162.18 | $251.19 |
DeanCare Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $154.88 Typical High $251.19 | Facility | None | $114.82 | $154.88 | $251.19 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $213.80 Typical High $281.84 | Professional | None | $162.18 | $213.80 | $281.84 |
Network Health Setting Facility Modifier None Typical Low $138.04 Median $154.88 Typical High $218.78 | Facility | None | $138.04 | $154.88 | $218.78 |
Prevea360 Setting Facility Modifier None Typical Low $114.82 Median $162.18 Typical High $251.19 | Facility | None | $114.82 | $162.18 | $251.19 |
Prevea360 Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Quartz Setting Professional Modifier None Typical Low $213.80 Median $371.54 Typical High $489.78 | Professional | None | $213.80 | $371.54 | $489.78 |
Quartz Setting Facility Modifier None Typical Low $346.74 Median $645.65 Typical High $645.65 | Facility | None | $346.74 | $645.65 | $645.65 |
Quartz Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Security Health Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $269.15 | Professional | None | $158.49 | $223.87 | $269.15 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
United Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $323.59 | Professional | None | $190.55 | $229.09 | $323.59 |
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 $95.50 Median $95.50 Typical High $363.08 | Professional | 52 · Reduced service | $95.50 | $95.50 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $144.54 | Professional | 53 · Discontinued | $38.90 | $38.90 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $28.84 Typical High $109.65 | Professional | 55 · Aftercare only | $28.84 | $28.84 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $72.44 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $72.44 |
Where Wisconsin sits
The same service costs 1.9 times more in Arizona than in Alabama. 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· 10th of 51
$214
AZ $302AL $162
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.