How much rates vary
Facilitymedian $178 · 10th to 90th $49 to $525Professionalmedian $174 · 10th to 90th $76 to $234
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 $177.83 Median $177.83 Typical High $208.93 | Facility | None | $177.83 | $177.83 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $524.81 | Professional | None | $177.83 | $177.83 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $218.78 | Professional | None | $173.78 | $190.55 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $83.18 Typical High $524.81 | Facility | None | $38.90 | $83.18 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $97.72 Typical High $173.78 | Professional | None | $33.11 | $97.72 | $173.78 |
DeanCare Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $141.25 | Facility | None | $64.57 | $64.57 | $141.25 |
DeanCare Setting Professional Modifier None Typical Low $4.79 Median $128.82 Typical High $128.82 | Professional | None | $4.79 | $128.82 | $128.82 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $75.86 Typical High $165.96 | Facility | None | $72.44 | $75.86 | $165.96 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $123.03 | Professional | None | $75.86 | $75.86 | $123.03 |
Network Health Setting Facility Modifier None Typical Low $21.88 Median $85.11 Typical High $89.13 | Facility | None | $21.88 | $85.11 | $89.13 |
Prevea360 Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $141.25 | Facility | None | $64.57 | $64.57 | $141.25 |
Prevea360 Setting Professional Modifier None Typical Low $4.79 Median $128.82 Typical High $128.82 | Professional | None | $4.79 | $128.82 | $128.82 |
Quartz Setting Professional Modifier None Typical Low $85.11 Median $162.18 Typical High $208.93 | Professional | None | $85.11 | $162.18 | $208.93 |
Quartz Setting Facility Modifier None Typical Low $229.09 Median $524.81 Typical High $524.81 | Facility | None | $229.09 | $524.81 | $524.81 |
Quartz Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Security Health Setting Professional Modifier None Typical Low $83.18 Median $234.42 Typical High $288.40 | Professional | None | $83.18 | $234.42 | $288.40 |
United Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $125.89 | Professional | None | $91.20 | $91.20 | $125.89 |
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 $89.13 Median $89.13 Typical High $263.03 | Professional | 52 · Reduced service | $89.13 | $89.13 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $104.71 | Professional | 53 · Discontinued | $35.48 | $35.48 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $77.62 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $52.48 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $52.48 |
Where Wisconsin sits
The same service costs 3.2 times more in Wyoming than in Oklahoma. 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· 19th of 51
$174
WY $200OK $63.10
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.