How much rates vary
Facilitymedian $1,000 · 10th to 90th $692 to $2,399Professionalmedian $891 · 10th to 90th $407 to $1,479
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,737.80 | Professional | None | $1,412.54 | $1,412.54 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $977.24 Typical High $1,445.44 | Facility | None | $891.25 | $977.24 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $977.24 Typical High $1,479.11 | Professional | None | $812.83 | $977.24 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $2,398.83 Typical High $3,715.35 | Facility | None | $478.63 | $2,398.83 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $512.86 Typical High $1,659.59 | Professional | None | $407.38 | $512.86 | $1,659.59 |
DeanCare Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $1,513.56 | Facility | None | $707.95 | $870.96 | $1,513.56 |
DeanCare Setting Professional Modifier None Typical Low $794.33 Median $870.96 Typical High $1,047.13 | Professional | None | $794.33 | $870.96 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $1,412.54 Typical High $4,073.80 | Facility | None | $870.96 | $1,412.54 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $4,365.16 | Professional | None | $398.11 | $602.56 | $4,365.16 |
Network Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Network Health Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $2,137.96 | Professional | None | $758.58 | $1,047.13 | $2,137.96 |
Prevea360 Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $1,513.56 | Facility | None | $707.95 | $870.96 | $1,513.56 |
Prevea360 Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $870.96 | Professional | None | $851.14 | $851.14 | $870.96 |
Quartz Setting Professional Modifier None Typical Low $851.14 Median $1,230.27 Typical High $1,949.84 | Professional | None | $851.14 | $1,230.27 | $1,949.84 |
Quartz Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Quartz Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $478.63 | Professional | None | $407.38 | $407.38 | $478.63 |
United Setting Professional Modifier None Typical Low $323.59 Median $575.44 Typical High $758.58 | Professional | None | $323.59 | $575.44 | $758.58 |
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 $707.95 Median $707.95 Typical High $870.96 | Professional | 52 · Reduced service | $707.95 | $707.95 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $346.74 | Professional | 53 · Discontinued | $281.84 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $263.03 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $173.78 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $173.78 |
Where Wisconsin sits
The same service costs 3.2 times more in Michigan than in Ohio. 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· 6th of 51
$891
MI $1,413OH $447
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.