How much rates vary
Facilitymedian $257 · 10th to 90th $138 to $407Professionalmedian $155 · 10th to 90th $126 to $692
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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $478.63 | Professional | None | $144.54 | $144.54 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $218.78 Typical High $812.83 | Professional | None | $131.83 | $218.78 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $331.13 Typical High $407.38 | Facility | None | $199.53 | $331.13 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $239.88 | Professional | None | $125.89 | $125.89 | $239.88 |
DeanCare Setting Facility Modifier None Typical Low $123.03 Median $138.04 Typical High $309.03 | Facility | None | $123.03 | $138.04 | $309.03 |
DeanCare Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $302.00 Typical High $616.60 | Facility | None | $134.90 | $302.00 | $616.60 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $1,445.44 | Professional | None | $134.90 | $134.90 | $1,445.44 |
Network Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Network Health Setting Professional Modifier None Typical Low $144.54 Median $158.49 Typical High $234.42 | Professional | None | $144.54 | $158.49 | $234.42 |
Prevea360 Setting Facility Modifier None Typical Low $123.03 Median $138.04 Typical High $309.03 | Facility | None | $123.03 | $138.04 | $309.03 |
Quartz Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $331.13 | Professional | None | $141.25 | $199.53 | $331.13 |
Quartz Setting Facility Modifier None Typical Low $204.17 Median $288.40 Typical High $389.05 | Facility | None | $204.17 | $288.40 | $389.05 |
Quartz Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Security Health Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $229.09 | Professional | None | $144.54 | $186.21 | $229.09 |
The Alliance Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $316.23 | Professional | None | $309.03 | $316.23 | $316.23 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $173.78 | Professional | None | $125.89 | $125.89 | $173.78 |
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 $72.44 Median $72.44 Typical High $239.88 | Professional | 52 · Reduced service | $72.44 | $72.44 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $95.50 | Professional | 53 · Discontinued | $28.84 | $28.84 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $70.79 | Professional | 55 · Aftercare only | $21.88 | $21.88 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.45 Typical High $47.86 | Professional | 56 · Pre-op care only | $14.45 | $14.45 | $47.86 |
Where Wisconsin sits
The same service costs 2.2 times more in Alaska than in North Carolina. 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
$162
AK $257NC $117
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.