How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,479 to $7,413Professionalmedian $2,630 · 10th to 90th $1,259 to $4,169
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 $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $4,897.79 | Professional | None | $2,630.27 | $2,630.27 | $4,897.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,691.53 Median $2,951.21 Typical High $4,466.84 | Facility | None | $2,691.53 | $2,951.21 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,511.89 Median $2,691.53 Typical High $3,630.78 | Professional | None | $2,511.89 | $2,691.53 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $7,413.10 Typical High $11,481.54 | Facility | None | $1,479.11 | $7,413.10 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $5,128.61 | Professional | None | $1,258.93 | $1,584.89 | $5,128.61 |
DeanCare Setting Facility Modifier None Typical Low $758.58 Median $2,630.27 Typical High $3,019.95 | Facility | None | $758.58 | $2,630.27 | $3,019.95 |
DeanCare Setting Professional Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $3,235.94 | Professional | None | $1,513.56 | $2,630.27 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,630.27 Typical High $11,481.54 | Facility | None | $1,318.26 | $2,630.27 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $13,182.57 | Professional | None | $1,230.27 | $1,778.28 | $13,182.57 |
Network Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,511.89 Typical High $4,677.35 | Professional | None | $1,905.46 | $2,511.89 | $4,677.35 |
Prevea360 Setting Facility Modifier None Typical Low $758.58 Median $2,630.27 Typical High $3,019.95 | Facility | None | $758.58 | $2,630.27 | $3,019.95 |
Prevea360 Setting Professional Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $2,691.53 | Professional | None | $1,513.56 | $2,630.27 | $2,691.53 |
Quartz Setting Professional Modifier None Typical Low $2,630.27 Median $3,801.89 Typical High $6,025.60 | Professional | None | $2,630.27 | $3,801.89 | $6,025.60 |
Quartz Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Quartz Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,479.11 | Professional | None | $1,258.93 | $1,258.93 | $1,479.11 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,698.24 Typical High $2,290.87 | Professional | None | $977.24 | $1,698.24 | $2,290.87 |
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 $1,318.26 Median $1,318.26 Typical High $2,454.71 | Professional | 52 · Reduced service | $1,318.26 | $1,318.26 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $977.24 | Professional | 53 · Discontinued | $537.03 | $537.03 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $398.11 Typical High $741.31 | Professional | 55 · Aftercare only | $398.11 | $398.11 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $263.03 Typical High $489.78 | Professional | 56 · Pre-op care only | $263.03 | $263.03 | $489.78 |
Where Wisconsin sits
The same service costs 2.6 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
$2,630
MT $2,754NY $1,072
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.