How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,175 to $12,023Professionalmedian $1,585 · 10th to 90th $708 to $4,898
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 $724.44 Median $8,317.64 Typical High $14,454.40 | Facility | None | $724.44 | $8,317.64 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $7,585.78 Typical High $11,481.54 | Facility | None | $5,011.87 | $7,585.78 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $2,511.89 Typical High $4,897.79 | Professional | None | $977.24 | $2,511.89 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $3,090.30 Typical High $12,882.50 | Facility | None | $954.99 | $3,090.30 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $1,621.81 | Professional | None | $977.24 | $1,412.54 | $1,621.81 |
DeanCare Setting Facility Modifier None Typical Low $478.63 Median $977.24 Typical High $1,995.26 | Facility | None | $478.63 | $977.24 | $1,995.26 |
DeanCare Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $5,623.41 Typical High $13,182.57 | Facility | None | $1,047.13 | $5,623.41 | $13,182.57 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $1,174.90 Typical High $1,905.46 | Professional | None | $446.68 | $1,174.90 | $1,905.46 |
Network Health Setting Facility Modifier None Typical Low $2,818.38 Median $7,762.47 Typical High $9,120.11 | Facility | None | $2,818.38 | $7,762.47 | $9,120.11 |
Prevea360 Setting Facility Modifier None Typical Low $478.63 Median $977.24 Typical High $1,995.26 | Facility | None | $478.63 | $977.24 | $1,995.26 |
Quartz Setting Professional Modifier None Typical Low $741.31 Median $1,862.09 Typical High $2,570.40 | Professional | None | $741.31 | $1,862.09 | $2,570.40 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $8,709.64 Typical High $14,125.38 | Facility | None | $758.58 | $8,709.64 | $14,125.38 |
Quartz Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Security Health Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,365.16 | $4,365.16 | $4,365.16 |
Security Health Setting Professional Modifier None Typical Low $4,897.79 Median $6,165.95 Typical High $6,760.83 | Professional | None | $4,897.79 | $6,165.95 | $6,760.83 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $6,456.54 Typical High $11,481.54 | Facility | None | $1,318.26 | $6,456.54 | $11,481.54 |
United Setting Professional Modifier None Typical Low $457.09 Median $1,202.26 Typical High $1,862.09 | Professional | None | $457.09 | $1,202.26 | $1,862.09 |
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 $363.08 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $72.44 |
Where Wisconsin sits
The same service costs 14.8 times more in Texas 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· 6th of 51
$2,884
TX $5,129ME $347
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.