How much rates vary
Facilitymedian $17,783 · 10th to 90th $1,445 to $35,481Professionalmedian $1,622 · 10th to 90th $457 to $3,548
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 $457.09 Median $8,317.64 Typical High $14,454.40 | Facility | None | $457.09 | $8,317.64 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
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 $446.68 Median $1,778.28 Typical High $4,466.84 | Professional | None | $446.68 | $1,778.28 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,137.96 Typical High $47,863.01 | Facility | None | $954.99 | $2,137.96 | $47,863.01 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $870.96 | Professional | None | $549.54 | $776.25 | $870.96 |
DeanCare Setting Facility Modifier None Typical Low $288.40 Median $537.03 Typical High $1,096.48 | Facility | None | $288.40 | $537.03 | $1,096.48 |
DeanCare Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
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 $616.60 Median $1,698.24 Typical High $2,818.38 | Professional | None | $616.60 | $1,698.24 | $2,818.38 |
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 $288.40 Median $537.03 Typical High $1,096.48 | Facility | None | $288.40 | $537.03 | $1,096.48 |
Quartz Setting Professional Modifier None Typical Low $794.33 Median $1,380.38 Typical High $1,862.09 | Professional | None | $794.33 | $1,380.38 | $1,862.09 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $31,622.78 Typical High $50,118.72 | Facility | None | $758.58 | $31,622.78 | $50,118.72 |
Quartz Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Security Health Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
Security Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,388.44 Typical High $3,715.35 | Professional | None | $2,691.53 | $3,388.44 | $3,715.35 |
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 $562.34 Median $1,737.80 Typical High $2,691.53 | Professional | None | $562.34 | $1,737.80 | $2,691.53 |
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 $229.09 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 54 · Surgery only | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $45.71 |
Where Wisconsin sits
The same service costs 29.5 times more in Louisiana than in Maine. 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· 15th of 51
$2,692
LA $16,982ME $575
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.