How much rates vary
Facilitymedian $10,965 · 10th to 90th $1,585 to $18,197Professionalmedian $3,802 · 10th to 90th $1,380 to $6,761
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 $1,318.26 Median $8,511.38 Typical High $14,454.40 | Facility | None | $1,318.26 | $8,511.38 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $5,495.41 | Professional | None | $1,318.26 | $1,318.26 | $5,495.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,120.11 Median $12,302.69 Typical High $18,620.87 | Facility | None | $9,120.11 | $12,302.69 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $4,073.80 Typical High $6,025.60 | Professional | None | $1,479.11 | $4,073.80 | $6,025.60 |
Cigna 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 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $6,918.31 Typical High $6,918.31 | Professional | None | $2,041.74 | $6,918.31 | $6,918.31 |
DeanCare Setting Facility Modifier None Typical Low $891.25 Median $1,584.89 Typical High $2,951.21 | Facility | None | $891.25 | $1,584.89 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $8,317.64 Typical High $16,595.87 | Facility | None | $1,318.26 | $8,317.64 | $16,595.87 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $4,897.79 Typical High $10,000.00 | Professional | None | $1,698.24 | $4,897.79 | $10,000.00 |
Network Health Setting Facility Modifier None Typical Low $5,128.61 Median $10,715.19 Typical High $17,378.01 | Facility | None | $5,128.61 | $10,715.19 | $17,378.01 |
Prevea360 Setting Facility Modifier None Typical Low $891.25 Median $1,584.89 Typical High $2,951.21 | Facility | None | $891.25 | $1,584.89 | $2,951.21 |
Quartz Setting Professional Modifier None Typical Low $1,548.82 Median $3,235.94 Typical High $4,570.88 | Professional | None | $1,548.82 | $3,235.94 | $4,570.88 |
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 $2,041.74 Median $6,918.31 Typical High $6,918.31 | Professional | None | $2,041.74 | $6,918.31 | $6,918.31 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $8,912.51 Typical High $15,488.17 | Facility | None | $1,698.24 | $8,912.51 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $4,677.35 Typical High $8,709.64 | Professional | None | $1,584.89 | $4,677.35 | $8,709.64 |
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 $660.69 Median $660.69 Typical High $2,754.23 | Professional | 52 · Reduced service | $660.69 | $660.69 | $2,754.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $1,096.48 | Professional | 53 · Discontinued | $269.15 | $269.15 | $1,096.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $4,168.69 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $4,168.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $831.76 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $831.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $549.54 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $549.54 |
Where Wisconsin sits
The same service costs 4.9 times more in Alaska than in Indiana. 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
$4,677
AK $6,457IN $1,318
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.