How much rates vary
Facilitymedian $676 · 10th to 90th $479 to $1,549Professionalmedian $550 · 10th to 90th $501 to $871
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 $524.81 Median $524.81 Typical High $1,148.15 | Facility | None | $524.81 | $524.81 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $616.60 | Professional | None | $524.81 | $524.81 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,071.52 | Facility | None | $645.65 | $645.65 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $562.34 Typical High $645.65 | Professional | None | $512.86 | $562.34 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $1,548.82 | Facility | None | $501.19 | $794.33 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $588.84 Typical High $912.01 | Professional | None | $512.86 | $588.84 | $912.01 |
DeanCare Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $1,071.52 | Facility | None | $478.63 | $478.63 | $1,071.52 |
DeanCare Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $977.24 | Professional | None | $724.44 | $977.24 | $977.24 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $1,071.52 | Facility | None | $478.63 | $478.63 | $1,071.52 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $724.44 | Professional | None | $478.63 | $478.63 | $724.44 |
Network Health Setting Facility Modifier None Typical Low $436.52 Median $467.74 Typical High $467.74 | Facility | None | $436.52 | $467.74 | $467.74 |
Prevea360 Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $1,071.52 | Facility | None | $478.63 | $478.63 | $1,071.52 |
Prevea360 Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $977.24 | Professional | None | $724.44 | $977.24 | $977.24 |
Quartz Setting Professional Modifier None Typical Low $512.86 Median $758.58 Typical High $1,230.27 | Professional | None | $512.86 | $758.58 | $1,230.27 |
Quartz Setting Facility Modifier None Typical Low $676.08 Median $1,548.82 Typical High $1,548.82 | Facility | None | $676.08 | $1,548.82 | $1,548.82 |
Quartz Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Security Health Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $851.14 | Professional | None | $691.83 | $691.83 | $851.14 |
United Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
United Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $676.08 | Professional | None | $501.19 | $501.19 | $676.08 |
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 $263.03 Median $263.03 Typical High $309.03 | Professional | 52 · Reduced service | $263.03 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | 53 · Discontinued | $104.71 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $61.66 |
Where Wisconsin sits
The same service costs 1.6 times more in Arizona than in Nebraska. 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· 9th of 51
$562
AZ $813NE $501
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.