How much rates vary
Facilitymedian $537 · 10th to 90th $407 to $1,479Professionalmedian $525 · 10th to 90th $263 to $891
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 $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $1,047.13 | Professional | None | $524.81 | $524.81 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $588.84 Typical High $891.25 | Facility | None | $537.03 | $588.84 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $537.03 Typical High $724.44 | Professional | None | $501.19 | $537.03 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $1,479.11 Typical High $2,238.72 | Facility | None | $416.87 | $1,479.11 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $1,023.29 | Professional | None | $354.81 | $446.68 | $1,023.29 |
DeanCare Setting Facility Modifier None Typical Low $151.36 Median $524.81 Typical High $602.56 | Facility | None | $151.36 | $524.81 | $602.56 |
DeanCare Setting Professional Modifier None Typical Low $524.81 Median $933.25 Typical High $1,000.00 | Professional | None | $524.81 | $933.25 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $524.81 Typical High $2,290.87 | Facility | None | $263.03 | $524.81 | $2,290.87 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $2,630.27 | Professional | None | $245.47 | $354.81 | $2,630.27 |
Network Health Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $912.01 | Professional | None | $380.19 | $489.78 | $912.01 |
Prevea360 Setting Facility Modifier None Typical Low $151.36 Median $524.81 Typical High $602.56 | Facility | None | $151.36 | $524.81 | $602.56 |
Prevea360 Setting Professional Modifier None Typical Low $302.00 Median $524.81 Typical High $524.81 | Professional | None | $302.00 | $524.81 | $524.81 |
Quartz Setting Professional Modifier None Typical Low $524.81 Median $758.58 Typical High $1,202.26 | Professional | None | $524.81 | $758.58 | $1,202.26 |
Quartz Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $416.87 | Professional | None | $354.81 | $354.81 | $416.87 |
Security Health Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $489.78 | Professional | None | $416.87 | $489.78 | $489.78 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $194.98 Median $338.84 Typical High $446.68 | Professional | None | $194.98 | $338.84 | $446.68 |
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 $562.34 | Professional | 52 · Reduced service | $263.03 | $263.03 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $223.87 | Professional | 53 · Discontinued | $104.71 | $104.71 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $165.96 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $112.20 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $112.20 |
Where Wisconsin sits
The same service costs 2.5 times more in Montana than in New York. 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· 2nd of 51
$525
MT $550NY $219
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.