How much rates vary
Facilitymedian $501 · 10th to 90th $295 to $977Professionalmedian $324 · 10th to 90th $155 to $871
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 $295.12 Median $295.12 Typical High $660.69 | Facility | None | $295.12 | $295.12 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $870.96 | Professional | None | $295.12 | $295.12 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $229.09 Typical High $707.95 | Professional | None | $131.83 | $229.09 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $794.33 Typical High $977.24 | Facility | None | $416.87 | $794.33 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $323.59 Typical High $380.19 | Professional | None | $281.84 | $323.59 | $380.19 |
DeanCare Setting Facility Modifier None Typical Low $281.84 Median $323.59 Typical High $323.59 | Facility | None | $281.84 | $323.59 | $323.59 |
DeanCare Setting Professional Modifier None Typical Low $398.11 Median $436.52 Typical High $467.74 | Professional | None | $398.11 | $436.52 | $467.74 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $323.59 Typical High $323.59 | Facility | None | $281.84 | $323.59 | $323.59 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $371.54 Typical High $1,258.93 | Professional | None | $309.03 | $371.54 | $1,258.93 |
Network Health Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Network Health Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $616.60 | Professional | None | $158.49 | $158.49 | $616.60 |
Prevea360 Setting Facility Modifier None Typical Low $281.84 Median $323.59 Typical High $323.59 | Facility | None | $281.84 | $323.59 | $323.59 |
Prevea360 Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $478.63 | Professional | None | $102.33 | $102.33 | $478.63 |
Quartz Setting Professional Modifier None Typical Low $144.54 Median $275.42 Typical High $457.09 | Professional | None | $144.54 | $275.42 | $457.09 |
Quartz Setting Facility Modifier None Typical Low $524.81 Median $977.24 Typical High $977.24 | Facility | None | $524.81 | $977.24 | $977.24 |
Quartz Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Security Health Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $501.19 | Professional | None | $363.08 | $436.52 | $501.19 |
United Setting Professional Modifier None Typical Low $309.03 Median $338.84 Typical High $389.05 | Professional | None | $309.03 | $338.84 | $389.05 |
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 $147.91 Median $147.91 Typical High $426.58 | Professional | 52 · Reduced service | $147.91 | $147.91 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $173.78 | Professional | 53 · Discontinued | $58.88 | $58.88 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $128.82 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $87.10 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $87.10 |
Where Wisconsin sits
The same service costs 2.3 times more in Alaska 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· 35th of 51
$324
AK $468MT $204
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.