How much rates vary
Facilitymedian $617 · 10th to 90th $389 to $1,230Professionalmedian $447 · 10th to 90th $389 to $724
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 $416.87 Median $416.87 Typical High $891.25 | Facility | None | $416.87 | $416.87 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $588.84 | Professional | None | $416.87 | $416.87 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $851.14 | Facility | None | $501.19 | $501.19 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $446.68 Typical High $512.86 | Professional | None | $398.11 | $446.68 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $954.99 Typical High $1,230.27 | Facility | None | $588.84 | $954.99 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $724.44 | Professional | None | $398.11 | $467.74 | $724.44 |
DeanCare Setting Facility Modifier None Typical Low $91.20 Median $389.05 Typical High $389.05 | Facility | None | $91.20 | $389.05 | $389.05 |
DeanCare Setting Professional Modifier None Typical Low $50.12 Median $776.25 Typical High $776.25 | Professional | None | $50.12 | $776.25 | $776.25 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $389.05 Typical High $389.05 | Facility | None | $91.20 | $389.05 | $389.05 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $588.84 | Professional | None | $389.05 | $389.05 | $588.84 |
Network Health Setting Facility Modifier None Typical Low $380.19 Median $398.11 Typical High $398.11 | Facility | None | $380.19 | $398.11 | $398.11 |
Prevea360 Setting Facility Modifier None Typical Low $91.20 Median $389.05 Typical High $389.05 | Facility | None | $91.20 | $389.05 | $389.05 |
Prevea360 Setting Professional Modifier None Typical Low $50.12 Median $776.25 Typical High $776.25 | Professional | None | $50.12 | $776.25 | $776.25 |
Quartz Setting Professional Modifier None Typical Low $398.11 Median $630.96 Typical High $1,000.00 | Professional | None | $398.11 | $630.96 | $1,000.00 |
Quartz Setting Facility Modifier None Typical Low $537.03 Median $1,230.27 Typical High $1,230.27 | Facility | None | $537.03 | $1,230.27 | $1,230.27 |
Quartz Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Security Health Setting Professional Modifier None Typical Low $331.13 Median $537.03 Typical High $660.69 | Professional | None | $331.13 | $537.03 | $660.69 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $537.03 | Professional | None | $389.05 | $389.05 | $537.03 |
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 $208.93 Median $208.93 Typical High $295.12 | Professional | 52 · Reduced service | $208.93 | $208.93 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $117.49 | Professional | 53 · Discontinued | $83.18 | $83.18 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $89.13 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $58.88 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $58.88 |
Where Wisconsin sits
The same service costs 2.8 times more in Arizona than in Alabama. 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
$457
AZ $646AL $234
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.