How much rates vary
Facilitymedian $17,783 · 10th to 90th $1,905 to $36,308Professionalmedian $1,230 · 10th to 90th $347 to $2,692
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 $331.13 Median $11,220.18 Typical High $14,454.40 | Facility | None | $331.13 | $11,220.18 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $13,182.57 Median $18,620.87 Typical High $25,703.96 | Facility | None | $13,182.57 | $18,620.87 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $1,412.54 Typical High $2,691.53 | Professional | None | $478.63 | $1,412.54 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $33,113.11 Typical High $50,118.72 | Facility | None | $758.58 | $33,113.11 | $50,118.72 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $1,202.26 | Professional | None | $478.63 | $478.63 | $1,202.26 |
DeanCare Setting Facility Modifier None Typical Low $223.87 Median $389.05 Typical High $724.44 | Facility | None | $223.87 | $389.05 | $724.44 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $13,803.84 Typical High $31,622.78 | Facility | None | $1,659.59 | $13,803.84 | $31,622.78 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $1,230.27 Typical High $2,041.74 | Professional | None | $457.09 | $1,230.27 | $2,041.74 |
Network Health Setting Facility Modifier None Typical Low $6,165.95 Median $17,378.01 Typical High $52,480.75 | Facility | None | $6,165.95 | $17,378.01 | $52,480.75 |
Prevea360 Setting Facility Modifier None Typical Low $223.87 Median $389.05 Typical High $724.44 | Facility | None | $223.87 | $389.05 | $724.44 |
Quartz Setting Professional Modifier None Typical Low $407.38 Median $812.83 Typical High $1,174.90 | Professional | None | $407.38 | $812.83 | $1,174.90 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $33,113.11 Typical High $50,118.72 | Facility | None | $758.58 | $33,113.11 | $50,118.72 |
Quartz Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $1,202.26 | Professional | None | $478.63 | $478.63 | $1,202.26 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $19,054.61 Typical High $27,542.29 | Facility | None | $2,041.74 | $19,054.61 | $27,542.29 |
United Setting Professional Modifier None Typical Low $407.38 Median $1,258.93 Typical High $1,949.84 | Professional | None | $407.38 | $1,258.93 | $1,949.84 |
5 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 $162.18 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 54 · Surgery only | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
Where Wisconsin sits
The same service costs 63.1 times more in Arkansas 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· 22nd of 51
$1,950
AR $18,621NY $295
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.