How much rates vary
Facilitymedian $1,072 · 10th to 90th $407 to $3,311Professionalmedian $1,023 · 10th to 90th $174 to $1,380
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 $1,023.29 Median $1,023.29 Typical High $2,290.87 | Facility | None | $1,023.29 | $1,023.29 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,412.54 | Professional | None | $1,023.29 | $1,023.29 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $446.68 Typical High $1,071.52 | Professional | None | $144.54 | $446.68 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,445.44 Typical High $3,311.31 | Facility | None | $741.31 | $1,445.44 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $398.11 Typical High $1,096.48 | Professional | None | $245.47 | $398.11 | $1,096.48 |
DeanCare Setting Facility Modifier None Typical Low $144.54 Median $407.38 Typical High $977.24 | Facility | None | $144.54 | $407.38 | $977.24 |
DeanCare Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $616.60 | Professional | None | $117.49 | $117.49 | $616.60 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $407.38 Typical High $1,071.52 | Facility | None | $144.54 | $407.38 | $1,071.52 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,380.38 | Professional | None | $1,023.29 | $1,023.29 | $1,380.38 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Prevea360 Setting Facility Modifier None Typical Low $144.54 Median $407.38 Typical High $977.24 | Facility | None | $144.54 | $407.38 | $977.24 |
Prevea360 Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $616.60 | Professional | None | $117.49 | $117.49 | $616.60 |
Quartz Setting Professional Modifier None Typical Low $190.55 Median $302.00 Typical High $436.52 | Professional | None | $190.55 | $302.00 | $436.52 |
Quartz Setting Facility Modifier None Typical Low $1,445.44 Median $3,311.31 Typical High $3,311.31 | Facility | None | $1,445.44 | $3,311.31 | $3,311.31 |
Quartz Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Security Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $489.78 | Professional | None | $263.03 | $263.03 | $489.78 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,479.11 | Professional | None | $1,071.52 | $1,071.52 | $1,479.11 |
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 $512.86 Median $512.86 Typical High $707.95 | Professional | 52 · Reduced service | $512.86 | $512.86 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $281.84 | Professional | 53 · Discontinued | $204.17 | $204.17 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $141.25 |
Where Wisconsin sits
The same service costs 8.3 times more in Arizona than in Montana. 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· 46th of 51
$1,023
AZ $1,738MT $209
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.