How much rates vary
Facilitymedian $447 · 10th to 90th $331 to $1,023Professionalmedian $372 · 10th to 90th $331 to $661
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 $346.74 Median $346.74 Typical High $758.58 | Facility | None | $346.74 | $346.74 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $954.99 | Professional | None | $346.74 | $346.74 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $707.95 | Facility | None | $416.87 | $416.87 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $426.58 | Professional | None | $338.84 | $371.54 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $524.81 Typical High $1,023.29 | Facility | None | $338.84 | $524.81 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $602.56 | Professional | None | $338.84 | $398.11 | $602.56 |
DeanCare Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $724.44 | Facility | None | $331.13 | $331.13 | $724.44 |
DeanCare Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $660.69 | Professional | None | $489.78 | $660.69 | $660.69 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $724.44 | Facility | None | $331.13 | $331.13 | $724.44 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $489.78 | Professional | None | $331.13 | $331.13 | $489.78 |
Network Health Setting Facility Modifier None Typical Low $331.13 Median $338.84 Typical High $338.84 | Facility | None | $331.13 | $338.84 | $338.84 |
Prevea360 Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $724.44 | Facility | None | $331.13 | $331.13 | $724.44 |
Prevea360 Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $660.69 | Professional | None | $489.78 | $660.69 | $660.69 |
Quartz Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $831.76 | Professional | None | $338.84 | $524.81 | $831.76 |
Quartz Setting Facility Modifier None Typical Low $446.68 Median $1,023.29 Typical High $1,023.29 | Facility | None | $446.68 | $1,023.29 | $1,023.29 |
Quartz Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Security Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $562.34 | Professional | None | $457.09 | $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 $331.13 Median $331.13 Typical High $446.68 | Professional | None | $331.13 | $331.13 | $446.68 |
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 $173.78 Median $173.78 Typical High $478.63 | Professional | 52 · Reduced service | $173.78 | $173.78 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $190.55 | Professional | 53 · Discontinued | $69.18 | $69.18 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $141.25 | Professional | 55 · Aftercare only | $52.48 | $52.48 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $95.50 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $95.50 |
Where Wisconsin sits
The same service costs 1.5 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· 6th of 51
$389
AZ $513RI $331
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.