How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,349 to $4,365Professionalmedian $2,188 · 10th to 90th $1,445 to $7,413
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $3,801.89 Typical High $9,120.11 | Professional | None | $1,621.81 | $3,801.89 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $2,691.53 Typical High $4,365.16 | Facility | None | $2,238.72 | $2,691.53 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $2,089.30 Typical High $3,162.28 | Professional | None | $1,230.27 | $2,089.30 | $3,162.28 |
DeanCare Setting Facility Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $3,548.13 | Facility | None | $1,348.96 | $1,862.09 | $3,548.13 |
DeanCare Setting Professional Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $2,238.72 | Professional | None | $1,659.59 | $2,089.30 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $3,548.13 | Facility | None | $1,348.96 | $1,862.09 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,454.71 | Professional | None | $1,659.59 | $1,659.59 | $2,454.71 |
Network Health Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Network Health Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Prevea360 Setting Facility Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $3,548.13 | Facility | None | $1,348.96 | $1,862.09 | $3,548.13 |
Quartz Setting Professional Modifier None Typical Low $1,862.09 Median $3,801.89 Typical High $5,011.87 | Professional | None | $1,862.09 | $3,801.89 | $5,011.87 |
Quartz Setting Facility Modifier None Typical Low $1,905.46 Median $4,365.16 Typical High $4,365.16 | Facility | None | $1,905.46 | $4,365.16 | $4,365.16 |
Quartz Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,511.89 | Professional | None | $1,445.44 | $1,445.44 | $2,511.89 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $134.90 |
Where Wisconsin sits
The same service costs 33.1 times more in Alaska 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· 2nd of 51
$2,188
AK $2,239NY $67.61
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.