How much rates vary
Facilitymedian $977 · 10th to 90th $525 to $1,585Professionalmedian $589 · 10th to 90th $513 to $1,318
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 $549.54 Median $549.54 Typical High $1,230.27 | Facility | None | $549.54 | $549.54 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $1,445.44 | Professional | None | $549.54 | $549.54 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,174.90 | Facility | None | $977.24 | $1,071.52 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $1,412.54 | Professional | None | $512.86 | $512.86 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,288.25 Typical High $1,584.89 | Facility | None | $794.33 | $1,288.25 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $676.08 Typical High $977.24 | Professional | None | $524.81 | $676.08 | $977.24 |
DeanCare Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $1,174.90 | Facility | None | $524.81 | $524.81 | $1,174.90 |
DeanCare Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,071.52 | Professional | None | $794.33 | $1,071.52 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $1,174.90 | Facility | None | $537.03 | $537.03 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $794.33 | Professional | None | $537.03 | $537.03 | $794.33 |
Network Health Setting Facility Modifier None Typical Low $549.54 Median $562.34 Typical High $562.34 | Facility | None | $549.54 | $562.34 | $562.34 |
Prevea360 Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $1,174.90 | Facility | None | $524.81 | $524.81 | $1,174.90 |
Prevea360 Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,071.52 | Professional | None | $794.33 | $1,071.52 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $524.81 Median $851.14 Typical High $1,348.96 | Professional | None | $524.81 | $851.14 | $1,348.96 |
Quartz Setting Facility Modifier None Typical Low $691.83 Median $1,584.89 Typical High $1,584.89 | Facility | None | $691.83 | $1,584.89 | $1,584.89 |
Quartz Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Security Health Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $870.96 | Professional | None | $707.95 | $707.95 | $870.96 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | None | $524.81 | $524.81 | $724.44 |
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 $275.42 Median $275.42 Typical High $724.44 | Professional | 52 · Reduced service | $275.42 | $275.42 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $295.12 | Professional | 53 · Discontinued | $109.65 | $109.65 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $218.78 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $144.54 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $144.54 |
Where Wisconsin sits
The same service costs 1.9 times more in Alaska than in Virginia. 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
$617
AK $977VA $525
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.