How much rates vary
Facilitymedian $603 · 10th to 90th $389 to $1,175Professionalmedian $407 · 10th to 90th $389 to $776
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 $398.11 Median $398.11 Typical High $891.25 | Facility | None | $398.11 | $398.11 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $741.31 | Professional | None | $398.11 | $398.11 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $831.76 | Facility | None | $489.78 | $489.78 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $1,148.15 | Professional | None | $389.05 | $446.68 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $954.99 Typical High $1,174.90 | Facility | None | $602.56 | $954.99 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $724.44 | Professional | None | $389.05 | $457.09 | $724.44 |
DeanCare Setting Facility Modifier None Typical Low $371.54 Median $389.05 Typical High $870.96 | Facility | None | $371.54 | $389.05 | $870.96 |
DeanCare Setting Professional Modifier None Typical Low $77.62 Median $776.25 Typical High $776.25 | Professional | None | $77.62 | $776.25 | $776.25 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $398.11 Typical High $870.96 | Facility | None | $371.54 | $398.11 | $870.96 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $398.11 Typical High $537.03 | Professional | None | $158.49 | $398.11 | $537.03 |
Network Health Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Network Health Setting Professional Modifier None Typical Low $371.54 Median $416.87 Typical High $478.63 | Professional | None | $371.54 | $416.87 | $478.63 |
Prevea360 Setting Facility Modifier None Typical Low $371.54 Median $389.05 Typical High $870.96 | Facility | None | $371.54 | $389.05 | $870.96 |
Prevea360 Setting Professional Modifier None Typical Low $77.62 Median $776.25 Typical High $776.25 | Professional | None | $77.62 | $776.25 | $776.25 |
Quartz Setting Professional Modifier None Typical Low $389.05 Median $616.60 Typical High $1,000.00 | Professional | None | $389.05 | $616.60 | $1,000.00 |
Quartz Setting Facility Modifier None Typical Low $645.65 Median $1,174.90 Typical High $1,174.90 | Facility | None | $645.65 | $1,174.90 | $1,174.90 |
Quartz Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Security Health Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $645.65 | Professional | None | $426.58 | $524.81 | $645.65 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $154.88 Median $389.05 Typical High $537.03 | Professional | None | $154.88 | $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 $199.53 Median $199.53 Typical High $371.54 | Professional | 52 · Reduced service | $199.53 | $199.53 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $147.91 | Professional | 53 · Discontinued | $79.43 | $79.43 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $112.20 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $74.13 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $74.13 |
Where Wisconsin sits
The same service costs 1.7 times more in Alaska 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· 5th of 51
$427
AK $589OK $355
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.