How much rates vary
Facilitymedian $10,471 · 10th to 90th $1,622 to $16,218Professionalmedian $4,786 · 10th to 90th $1,479 to $10,715
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 $1,621.81 Median $11,220.18 Typical High $14,454.40 | Facility | None | $1,621.81 | $11,220.18 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $6,760.83 | Professional | None | $1,621.81 | $1,621.81 | $6,760.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,000.00 Median $12,589.25 Typical High $19,952.62 | Facility | None | $10,000.00 | $12,589.25 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $6,025.60 Typical High $11,481.54 | Professional | None | $1,380.38 | $6,025.60 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $6,025.60 Typical High $11,481.54 | Facility | None | $954.99 | $6,025.60 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $1,047.13 Typical High $6,025.60 | Professional | None | $407.38 | $1,047.13 | $6,025.60 |
DeanCare Setting Facility Modifier None Typical Low $331.13 Median $891.25 Typical High $1,995.26 | Facility | None | $331.13 | $891.25 | $1,995.26 |
DeanCare Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $3,311.31 | Professional | None | $588.84 | $588.84 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $7,943.28 Typical High $16,595.87 | Facility | None | $1,230.27 | $7,943.28 | $16,595.87 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $4,570.88 Typical High $7,413.10 | Professional | None | $1,621.81 | $4,570.88 | $7,413.10 |
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 $331.13 Median $891.25 Typical High $1,995.26 | Facility | None | $331.13 | $891.25 | $1,995.26 |
Quartz Setting Professional Modifier None Typical Low $2,398.83 Median $4,168.69 Typical High $5,754.40 | Professional | None | $2,398.83 | $4,168.69 | $5,754.40 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $7,762.47 Typical High $12,589.25 | Facility | None | $758.58 | $7,762.47 | $12,589.25 |
Security Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $8,511.38 | Professional | None | $1,479.11 | $1,479.11 | $8,511.38 |
Security Health Setting Professional Modifier None Typical Low $2,089.30 Median $9,332.54 Typical High $11,748.98 | Professional | None | $2,089.30 | $9,332.54 | $11,748.98 |
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 $1,659.59 Median $4,570.88 Typical High $7,079.46 | Professional | None | $1,659.59 | $4,570.88 | $7,079.46 |
4 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 $812.83 Median $812.83 Typical High $3,388.44 | Professional | 52 · Reduced service | $812.83 | $812.83 | $3,388.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $1,348.96 | Professional | 53 · Discontinued | $323.59 | $323.59 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $1,023.29 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $1,023.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $676.08 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $676.08 |
Where Wisconsin sits
The same service costs 9.1 times more in Oklahoma than in New York. 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· 4th of 51
$6,166
OK $10,233NY $1,122
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.