How much rates vary
Facilitymedian $1,995 · 10th to 90th $589 to $4,467Professionalmedian $933 · 10th to 90th $347 to $1,514
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 $281.84 Median $1,905.46 Typical High $14,454.40 | Facility | None | $281.84 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $3,162.28 | Professional | None | $281.84 | $281.84 | $3,162.28 |
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 $501.19 Median $1,071.52 Typical High $1,479.11 | Professional | None | $501.19 | $1,071.52 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $812.83 Typical High $1,479.11 | Facility | None | $630.96 | $812.83 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $616.60 Typical High $977.24 | Professional | None | $537.03 | $616.60 | $977.24 |
DeanCare Setting Facility Modifier None Typical Low $389.05 Median $3,311.31 Typical High $6,025.60 | Facility | None | $389.05 | $3,311.31 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,819.70 Typical High $3,311.31 | Facility | None | $446.68 | $1,819.70 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $977.24 Typical High $1,659.59 | Professional | None | $380.19 | $977.24 | $1,659.59 |
Network Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $3,235.94 | Facility | None | $1,122.02 | $1,819.70 | $3,235.94 |
Prevea360 Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $676.08 | Facility | None | $269.15 | $363.08 | $676.08 |
Quartz Setting Professional Modifier None Typical Low $398.11 Median $831.76 Typical High $1,258.93 | Professional | None | $398.11 | $831.76 | $1,258.93 |
Quartz Setting Facility Modifier None Typical Low $630.96 Median $812.83 Typical High $1,479.11 | Facility | None | $630.96 | $812.83 | $1,479.11 |
Quartz Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $933.25 | Professional | None | $616.60 | $616.60 | $933.25 |
United Setting Facility Modifier None Typical Low $512.86 Median $2,041.74 Typical High $3,548.13 | Facility | None | $512.86 | $2,041.74 | $3,548.13 |
United Setting Professional Modifier None Typical Low $346.74 Median $870.96 Typical High $1,584.89 | Professional | None | $346.74 | $870.96 | $1,584.89 |
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 $141.25 Median $141.25 Typical High $1,584.89 | Professional | 52 · Reduced service | $141.25 | $141.25 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $630.96 | Professional | 53 · Discontinued | $56.23 | $56.23 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $208.93 Typical High $2,344.23 | Professional | 54 · Surgery only | $208.93 | $208.93 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $42.66 Typical High $467.74 | Professional | 55 · Aftercare only | $42.66 | $42.66 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $316.23 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $316.23 |
Where Wisconsin sits
The same service costs 4.1 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· 3rd of 51
$1,122
AK $1,318KY $324
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.