How much rates vary
Facilitymedian $14,454 · 10th to 90th $1,175 to $21,878Professionalmedian $1,318 · 10th to 90th $380 to $3,162
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 $389.05 Median $8,317.64 Typical High $14,454.40 | Facility | None | $389.05 | $8,317.64 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
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 $371.54 Median $1,698.24 Typical High $3,715.35 | Professional | None | $371.54 | $1,698.24 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,737.80 Typical High $19,054.61 | Facility | None | $912.01 | $1,737.80 | $19,054.61 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $630.96 Typical High $707.95 | Professional | None | $436.52 | $630.96 | $707.95 |
DeanCare Setting Facility Modifier None Typical Low $239.88 Median $426.58 Typical High $870.96 | Facility | None | $239.88 | $426.58 | $870.96 |
DeanCare Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $9,120.11 Typical High $19,952.62 | Facility | None | $1,174.90 | $9,120.11 | $19,952.62 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $1,071.52 Typical High $1,778.28 | Professional | None | $398.11 | $1,071.52 | $1,778.28 |
Network Health Setting Facility Modifier None Typical Low $3,388.44 Median $13,489.63 Typical High $27,542.29 | Facility | None | $3,388.44 | $13,489.63 | $27,542.29 |
Prevea360 Setting Facility Modifier None Typical Low $239.88 Median $426.58 Typical High $870.96 | Facility | None | $239.88 | $426.58 | $870.96 |
Quartz Setting Professional Modifier None Typical Low $575.44 Median $1,023.29 Typical High $1,380.38 | Professional | None | $575.44 | $1,023.29 | $1,380.38 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $12,589.25 Typical High $20,892.96 | Facility | None | $758.58 | $12,589.25 | $20,892.96 |
Quartz Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Security Health Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Security Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,691.53 Typical High $2,951.21 | Professional | None | $2,137.96 | $2,691.53 | $2,951.21 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $10,715.19 Typical High $20,417.38 | Facility | None | $2,041.74 | $10,715.19 | $20,417.38 |
United Setting Professional Modifier None Typical Low $416.87 Median $1,096.48 Typical High $1,698.24 | Professional | None | $416.87 | $1,096.48 | $1,698.24 |
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 $194.98 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 54 · Surgery only | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $38.90 |
Where Wisconsin sits
The same service costs 16.2 times more in Arkansas than in West Virginia. 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
$2,042
AR $6,918WV $427
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.