How much rates vary
Facilitymedian $14,454 · 10th to 90th $1,023 to $21,878Professionalmedian $1,175 · 10th to 90th $324 to $2,630
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 $323.59 Median $8,317.64 Typical High $14,454.40 | Facility | None | $323.59 | $8,317.64 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
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 $309.03 Median $1,445.44 Typical High $3,090.30 | Professional | None | $309.03 | $1,445.44 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,584.89 Typical High $19,054.61 | Facility | None | $831.76 | $1,584.89 | $19,054.61 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $616.60 | Professional | None | $389.05 | $549.54 | $616.60 |
DeanCare Setting Facility Modifier None Typical Low $204.17 Median $380.19 Typical High $776.25 | Facility | None | $204.17 | $380.19 | $776.25 |
DeanCare Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
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 $407.38 Median $1,096.48 Typical High $1,819.70 | Professional | None | $407.38 | $1,096.48 | $1,819.70 |
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 $204.17 Median $380.19 Typical High $776.25 | Facility | None | $204.17 | $380.19 | $776.25 |
Quartz Setting Professional Modifier None Typical Low $489.78 Median $851.14 Typical High $1,148.15 | Professional | None | $489.78 | $851.14 | $1,148.15 |
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 $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Security Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Security Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $2,630.27 | Professional | None | $1,905.46 | $2,344.23 | $2,630.27 |
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 $371.54 Median $1,122.02 Typical High $1,737.80 | Professional | None | $371.54 | $1,122.02 | $1,737.80 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $64.57 | $64.57 | $64.57 |
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 $32.36 Median $32.36 Typical High $32.36 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $32.36 |
Where Wisconsin sits
The same service costs 15.8 times more in Arkansas 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· 18th of 51
$1,820
AR $6,918ME $437
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.