How much rates vary
Facilitymedian $2,399 · 10th to 90th $759 to $4,898Professionalmedian $741 · 10th to 90th $324 to $2,884
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 $3,090.30 Typical High $14,454.40 | Facility | None | $323.59 | $3,090.30 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $1,479.11 | Professional | None | $323.59 | $323.59 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $1,122.02 Typical High $2,754.23 | Professional | None | $363.08 | $1,122.02 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,621.81 Typical High $2,754.23 | Facility | None | $758.58 | $1,621.81 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
DeanCare Setting Facility Modifier None Typical Low $223.87 Median $389.05 Typical High $707.95 | Facility | None | $223.87 | $389.05 | $707.95 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $2,398.83 Typical High $4,897.79 | Facility | None | $616.60 | $2,398.83 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $1,230.27 Typical High $2,884.03 | Professional | None | $457.09 | $1,230.27 | $2,884.03 |
Network Health Setting Facility Modifier None Typical Low $1,548.82 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,548.82 | $2,818.38 | $4,786.30 |
Network Health Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
Prevea360 Setting Facility Modifier None Typical Low $223.87 Median $389.05 Typical High $707.95 | Facility | None | $223.87 | $389.05 | $707.95 |
Quartz Setting Professional Modifier None Typical Low $478.63 Median $812.83 Typical High $1,288.25 | Professional | None | $478.63 | $812.83 | $1,288.25 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $1,621.81 Typical High $2,754.23 | Facility | None | $758.58 | $1,621.81 | $2,754.23 |
Quartz Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
The Alliance Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $4,897.79 | Facility | None | $707.95 | $2,818.38 | $4,897.79 |
United Setting Professional Modifier None Typical Low $398.11 Median $676.08 Typical High $1,737.80 | Professional | None | $398.11 | $676.08 | $1,737.80 |
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 $162.18 Median $162.18 Typical High $741.31 | Professional | 52 · Reduced service | $162.18 | $162.18 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $295.12 | Professional | 53 · Discontinued | $64.57 | $64.57 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $223.87 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $147.91 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $147.91 |
Where Wisconsin sits
The same service costs 7.1 times more in Alaska 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· 2nd of 51
$1,000
AK $1,259KY $178
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.