How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,995 to $6,310Professionalmedian $2,138 · 10th to 90th $1,995 to $3,467
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 $2,137.96 Median $2,137.96 Typical High $4,570.88 | Facility | None | $2,137.96 | $2,137.96 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,019.95 | Professional | None | $2,137.96 | $2,137.96 | $3,019.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $3,981.07 Typical High $4,466.84 | Facility | None | $3,715.35 | $3,981.07 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,238.72 Typical High $2,630.27 | Professional | None | $2,089.30 | $2,238.72 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $4,897.79 Typical High $6,309.57 | Facility | None | $2,951.21 | $4,897.79 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $5,754.40 | Professional | None | $2,089.30 | $2,630.27 | $5,754.40 |
DeanCare Setting Facility Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $4,466.84 | Facility | None | $1,548.82 | $1,995.26 | $4,466.84 |
Medica Setting Facility Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $4,365.16 | Facility | None | $1,548.82 | $1,995.26 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,691.53 | Professional | None | $1,995.26 | $1,995.26 | $2,691.53 |
Network Health Setting Facility Modifier None Typical Low $1,949.84 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,949.84 | $1,995.26 | $1,995.26 |
Prevea360 Setting Facility Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $4,466.84 | Facility | None | $1,548.82 | $1,995.26 | $4,466.84 |
Quartz Setting Professional Modifier None Typical Low $2,089.30 Median $3,162.28 Typical High $5,128.61 | Professional | None | $2,089.30 | $3,162.28 | $5,128.61 |
Quartz Setting Facility Modifier None Typical Low $2,754.23 Median $6,309.57 Typical High $6,309.57 | Facility | None | $2,754.23 | $6,309.57 | $6,309.57 |
Quartz Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Security Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $3,467.37 | Professional | None | $2,089.30 | $2,818.38 | $3,467.37 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,995.26 | $1,995.26 | $2,754.23 |
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 $1,071.52 Median $1,071.52 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $602.56 | Professional | 53 · Discontinued | $426.58 | $426.58 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $457.09 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $302.00 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $302.00 |
Where Wisconsin sits
The same service costs 2.0 times more in Alaska than in Oklahoma. 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· 10th of 51
$2,291
AK $3,548OK $1,778
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.