How much rates vary
Facilitymedian $1,514 · 10th to 90th $776 to $2,818Professionalmedian $813 · 10th to 90th $776 to $5,248
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 $776.25 Median $776.25 Typical High $1,698.24 | Facility | None | $776.25 | $776.25 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $5,248.07 | Professional | None | $776.25 | $776.25 | $5,248.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $1,659.59 Typical High $6,918.31 | Professional | None | $794.33 | $1,659.59 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $2,511.89 Typical High $3,162.28 | Facility | None | $1,258.93 | $2,511.89 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,230.27 Typical High $1,949.84 | Professional | None | $812.83 | $1,230.27 | $1,949.84 |
DeanCare Setting Facility Modifier None Typical Low $56.23 Median $1,148.15 Typical High $2,454.71 | Facility | None | $56.23 | $1,148.15 | $2,454.71 |
DeanCare Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $1,698.24 | Professional | None | $30.90 | $30.90 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $1,148.15 Typical High $2,454.71 | Facility | None | $56.23 | $1,148.15 | $2,454.71 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,122.02 | Professional | None | $794.33 | $794.33 | $1,122.02 |
Network Health Setting Facility Modifier None Typical Low $131.83 Median $1,122.02 Typical High $2,041.74 | Facility | None | $131.83 | $1,122.02 | $2,041.74 |
Prevea360 Setting Facility Modifier None Typical Low $56.23 Median $1,148.15 Typical High $2,454.71 | Facility | None | $56.23 | $1,148.15 | $2,454.71 |
Prevea360 Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $1,698.24 | Professional | None | $30.90 | $30.90 | $1,698.24 |
Quartz Setting Professional Modifier None Typical Low $60.26 Median $114.82 Typical High $4,168.69 | Professional | None | $60.26 | $114.82 | $4,168.69 |
Quartz Setting Facility Modifier None Typical Low $1,096.48 Median $2,511.89 Typical High $2,511.89 | Facility | None | $1,096.48 | $2,511.89 | $2,511.89 |
Quartz Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Security Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,818.38 | Professional | None | $1,548.82 | $1,548.82 | $2,818.38 |
United Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,096.48 | Professional | None | $794.33 | $794.33 | $1,096.48 |
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 $380.19 Median $380.19 Typical High $2,630.27 | Professional | 52 · Reduced service | $380.19 | $380.19 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $1,047.13 | Professional | 53 · Discontinued | $154.88 | $154.88 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $776.25 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $524.81 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $524.81 |
Where Wisconsin sits
The same service costs 2.6 times more in Alabama than in Florida. 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· 16th of 51
$1,000
AL $2,089FL $794
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.