How much rates vary
Facilitymedian $550 · 10th to 90th $316 to $1,072Professionalmedian $355 · 10th to 90th $302 to $631
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 $338.84 Median $338.84 Typical High $389.05 | Facility | None | $338.84 | $338.84 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $645.65 | Professional | None | $338.84 | $338.84 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $630.96 Typical High $691.83 | Facility | None | $575.44 | $630.96 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $457.09 | Professional | None | $302.00 | $338.84 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $1,071.52 | Facility | None | $467.74 | $758.58 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $812.83 | Professional | None | $354.81 | $436.52 | $812.83 |
DeanCare Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $691.83 | Facility | None | $316.23 | $316.23 | $691.83 |
DeanCare Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $398.11 Typical High $602.56 | Facility | None | $302.00 | $398.11 | $602.56 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $478.63 | Professional | None | $275.42 | $331.13 | $478.63 |
Network Health Setting Facility Modifier None Typical Low $302.00 Median $309.03 Typical High $309.03 | Facility | None | $302.00 | $309.03 | $309.03 |
Prevea360 Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $691.83 | Facility | None | $316.23 | $316.23 | $691.83 |
Prevea360 Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Quartz Setting Professional Modifier None Typical Low $338.84 Median $501.19 Typical High $870.96 | Professional | None | $338.84 | $501.19 | $870.96 |
Quartz Setting Facility Modifier None Typical Low $467.74 Median $1,071.52 Typical High $1,071.52 | Facility | None | $467.74 | $1,071.52 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Security Health Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $562.34 | Professional | None | $354.81 | $457.09 | $562.34 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $316.23 Median $380.19 Typical High $512.86 | Professional | None | $316.23 | $380.19 | $512.86 |
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 $169.82 Median $169.82 Typical High $331.13 | Professional | 52 · Reduced service | $169.82 | $169.82 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $131.83 | Professional | 53 · Discontinued | $67.61 | $67.61 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $97.72 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $66.07 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $66.07 |
Where Wisconsin sits
The same service costs 2.9 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· 6th of 51
$372
AZ $468AL $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.