How much rates vary
Facilitymedian $8,710 · 10th to 90th $813 to $21,380Professionalmedian $5,012 · 10th to 90th $1,318 to $10,471
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 $1,288.25 Median $1,288.25 Typical High $14,454.40 | Facility | None | $1,288.25 | $1,288.25 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $7,585.78 | Professional | None | $1,288.25 | $1,288.25 | $7,585.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $12,022.64 Median $17,782.79 Typical High $26,302.68 | Facility | None | $12,022.64 | $17,782.79 | $26,302.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $5,888.44 Typical High $12,302.69 | Professional | None | $1,621.81 | $5,888.44 | $12,302.69 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $3,630.78 Typical High $5,623.41 | Facility | None | $758.58 | $3,630.78 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,238.72 Typical High $2,511.89 | Professional | None | $1,548.82 | $2,238.72 | $2,511.89 |
DeanCare Setting Facility Modifier None Typical Low $812.83 Median $1,513.56 Typical High $3,162.28 | Facility | None | $812.83 | $1,513.56 | $3,162.28 |
DeanCare Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $2,454.71 Typical High $18,197.01 | Facility | None | $501.19 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $4,786.30 Typical High $7,762.47 | Professional | None | $1,778.28 | $4,786.30 | $7,762.47 |
Network Health 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 |
Network Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Prevea360 Setting Facility Modifier None Typical Low $812.83 Median $1,513.56 Typical High $3,162.28 | Facility | None | $812.83 | $1,513.56 | $3,162.28 |
Quartz Setting Professional Modifier None Typical Low $1,905.46 Median $3,388.44 Typical High $4,570.88 | Professional | None | $1,905.46 | $3,388.44 | $4,570.88 |
Quartz Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $3,630.78 | Facility | None | $645.65 | $1,071.52 | $3,630.78 |
Quartz Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Security Health Setting Professional Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | None | $6,918.31 | $6,918.31 | $6,918.31 |
Security Health Setting Professional Modifier None Typical Low $7,762.47 Median $9,549.93 Typical High $10,471.29 | Professional | None | $7,762.47 | $9,549.93 | $10,471.29 |
United Setting Facility Modifier None Typical Low $602.56 Median $3,090.30 Typical High $18,197.01 | Facility | None | $602.56 | $3,090.30 | $18,197.01 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $4,897.79 Typical High $7,762.47 | Professional | None | $1,584.89 | $4,897.79 | $7,762.47 |
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 $645.65 Median $645.65 Typical High $3,801.89 | Professional | 52 · Reduced service | $645.65 | $645.65 | $3,801.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $1,513.56 | Professional | 53 · Discontinued | $257.04 | $257.04 | $1,513.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $5,623.41 | Professional | 54 · Surgery only | $954.99 | $954.99 | $5,623.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $1,122.02 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $1,122.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $758.58 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $758.58 |
Where Wisconsin sits
The same service costs 6.8 times more in Alaska than in Arkansas. 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· 2nd of 51
$5,129
AK $5,888AR $871
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.