How much rates vary
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $2,137.96 | Professional | None | $1,479.11 | $2,041.74 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $2,951.21 Typical High $11,220.18 | Professional | None | $1,698.24 | $2,951.21 | $11,220.18 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $4,897.79 Typical High $6,606.93 | Facility | None | $199.53 | $4,897.79 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $2,570.40 | Professional | None | $125.89 | $125.89 | $2,570.40 |
DeanCare Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $4,365.16 | Facility | None | $1,949.84 | $1,949.84 | $4,365.16 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $4,365.16 | Facility | None | $1,949.84 | $1,949.84 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $6,760.83 | Professional | None | $1,949.84 | $1,949.84 | $6,760.83 |
Network Health Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Prevea360 Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $4,365.16 | Facility | None | $1,949.84 | $1,949.84 | $4,365.16 |
Quartz Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $524.81 | Professional | None | $141.25 | $194.98 | $524.81 |
Quartz Setting Facility Modifier None Typical Low $169.82 Median $389.05 Typical High $389.05 | Facility | None | $169.82 | $389.05 | $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 $2,630.27 Median $2,691.53 Typical High $3,235.94 | Professional | None | $2,630.27 | $2,691.53 | $3,235.94 |
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 $741.31 Median $1,023.29 Typical High $1,071.52 | Professional | 52 · Reduced service | $741.31 | $1,023.29 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $407.38 Typical High $426.58 | Professional | 53 · Discontinued | $295.12 | $407.38 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $309.03 Typical High $323.59 | Professional | 55 · Aftercare only | $223.87 | $309.03 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $204.17 Typical High $213.80 | Professional | 56 · Pre-op care only | $147.91 | $204.17 | $213.80 |
Where Wisconsin sits
The same service costs 19.5 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· 5th of 51
$1,995
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.