How much rates vary
Facilitymedian $676 · 10th to 90th $501 to $1,549Professionalmedian $562 · 10th to 90th $501 to $1,000
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 $2,187.76 | Professional | None | $524.81 | $524.81 | $2,187.76 |
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 $758.58 | Professional | None | $512.86 | $562.34 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $1,548.82 | Facility | None | $512.86 | $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 $501.19 Median $501.19 Typical High $1,096.48 | Facility | None | $501.19 | $501.19 | $1,096.48 |
DeanCare Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $1,000.00 | Professional | None | $741.31 | $1,000.00 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $1,096.48 | Facility | None | $489.78 | $489.78 | $1,096.48 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $741.31 | Professional | None | $489.78 | $489.78 | $741.31 |
Network Health Setting Facility Modifier None Typical Low $489.78 Median $501.19 Typical High $501.19 | Facility | None | $489.78 | $501.19 | $501.19 |
Prevea360 Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $1,096.48 | Facility | None | $501.19 | $501.19 | $1,096.48 |
Prevea360 Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $1,000.00 | Professional | None | $741.31 | $1,000.00 | $1,000.00 |
Quartz Setting Professional Modifier None Typical Low $512.86 Median $794.33 Typical High $1,258.93 | Professional | None | $512.86 | $794.33 | $1,258.93 |
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 $1,096.48 | Professional | 52 · Reduced service | $263.03 | $263.03 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $436.52 | Professional | 53 · Discontinued | $104.71 | $104.71 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $323.59 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $218.78 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $218.78 |
Where Wisconsin sits
The same service costs 2.8 times more in Arizona 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· 7th of 51
$589
AZ $776OK $282
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.