How much rates vary
Facilitymedian $427 · 10th to 90th $331 to $1,175Professionalmedian $417 · 10th to 90th $209 to $661
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $1,621.81 | Professional | None | $416.87 | $416.87 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $707.95 | Facility | None | $426.58 | $467.74 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $575.44 | Professional | None | $398.11 | $426.58 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $1,174.90 Typical High $1,778.28 | Facility | None | $371.54 | $1,174.90 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $398.11 Typical High $812.83 | Professional | None | $316.23 | $398.11 | $812.83 |
DeanCare Setting Facility Modifier None Typical Low $134.90 Median $416.87 Typical High $478.63 | Facility | None | $134.90 | $416.87 | $478.63 |
DeanCare Setting Professional Modifier None Typical Low $239.88 Median $416.87 Typical High $512.86 | Professional | None | $239.88 | $416.87 | $512.86 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $416.87 Typical High $2,187.76 | Facility | None | $213.80 | $416.87 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $302.00 Typical High $2,818.38 | Professional | None | $194.98 | $302.00 | $2,818.38 |
Network Health Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $741.31 | Professional | None | $302.00 | $398.11 | $741.31 |
Prevea360 Setting Facility Modifier None Typical Low $134.90 Median $416.87 Typical High $478.63 | Facility | None | $134.90 | $416.87 | $478.63 |
Prevea360 Setting Professional Modifier None Typical Low $239.88 Median $416.87 Typical High $426.58 | Professional | None | $239.88 | $416.87 | $426.58 |
Quartz Setting Professional Modifier None Typical Low $426.58 Median $645.65 Typical High $1,071.52 | Professional | None | $426.58 | $645.65 | $1,071.52 |
Quartz Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Quartz Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | None | $316.23 | $316.23 | $371.54 |
Security Health Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $398.11 | Professional | None | $338.84 | $398.11 | $398.11 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
United Setting Professional Modifier None Typical Low $173.78 Median $281.84 Typical High $371.54 | Professional | None | $173.78 | $281.84 | $371.54 |
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 $208.93 Median $208.93 Typical High $794.33 | Professional | 52 · Reduced service | $208.93 | $208.93 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $323.59 | Professional | 53 · Discontinued | $83.18 | $83.18 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $239.88 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $162.18 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $162.18 |
Where Wisconsin sits
The same service costs 3.4 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· 9th of 51
$417
MT $589NY $174
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.