How much rates vary
Facilitymedian $14,125 · 10th to 90th $1,288 to $24,547Professionalmedian $692 · 10th to 90th $234 to $1,660
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 $223.87 Median $1,905.46 Typical High $14,454.40 | Facility | None | $223.87 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
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 $245.47 Median $933.25 Typical High $1,659.59 | Professional | None | $245.47 | $933.25 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $22,387.21 Typical High $33,884.42 | Facility | None | $758.58 | $22,387.21 | $33,884.42 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $1,258.93 Typical High $1,258.93 | Professional | None | $346.74 | $1,258.93 | $1,258.93 |
DeanCare Setting Facility Modifier None Typical Low $269.15 Median $2,818.38 Typical High $5,370.32 | Facility | None | $269.15 | $2,818.38 | $5,370.32 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $8,317.64 Typical High $16,595.87 | Facility | None | $1,202.26 | $8,317.64 | $16,595.87 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $537.03 Typical High $1,819.70 | Professional | None | $288.40 | $537.03 | $1,819.70 |
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 $151.36 Median $269.15 Typical High $489.78 | Facility | None | $151.36 | $269.15 | $489.78 |
Quartz Setting Professional Modifier None Typical Low $331.13 Median $575.44 Typical High $794.33 | Professional | None | $331.13 | $575.44 | $794.33 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $22,387.21 Typical High $33,884.42 | Facility | None | $758.58 | $22,387.21 | $33,884.42 |
Quartz Setting Professional Modifier None Typical Low $346.74 Median $1,258.93 Typical High $1,258.93 | Professional | None | $346.74 | $1,258.93 | $1,258.93 |
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 $275.42 Median $467.74 Typical High $1,445.44 | Professional | None | $275.42 | $467.74 | $1,445.44 |
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 $112.20 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 54 · Surgery only | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $22.39 |
Where Wisconsin sits
The same service costs 9.5 times more in Arkansas than in Kentucky. 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· 3rd of 51
$1,047
AR $1,905KY $200
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.