How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,905 to $11,220Professionalmedian $6,607 · 10th to 90th $2,188 to $10,471
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 $1,995.26 Median $6,456.54 Typical High $14,454.40 | Facility | None | $1,995.26 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $24,547.09 | Professional | None | $1,995.26 | $1,995.26 | $24,547.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $7,585.78 Typical High $11,481.54 | Facility | None | $5,011.87 | $7,585.78 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $7,079.46 Typical High $10,471.29 | Professional | None | $2,290.87 | $7,079.46 | $10,471.29 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $3,467.37 Median $10,715.19 Typical High $15,488.17 | Professional | 50 · Both sides | $3,467.37 | $10,715.19 | $15,488.17 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $4,265.80 Typical High $7,079.46 | Facility | None | $954.99 | $4,265.80 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $3,548.13 Typical High $7,413.10 | Professional | None | $2,454.71 | $3,548.13 | $7,413.10 |
DeanCare Setting Facility Modifier None Typical Low $2,570.40 Median $5,128.61 Typical High $9,332.54 | Facility | None | $2,570.40 | $5,128.61 | $9,332.54 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $5,623.41 Typical High $13,803.84 | Facility | None | $1,202.26 | $5,623.41 | $13,803.84 |
Medica Setting Professional Modifier None Typical Low $2,511.89 Median $6,456.54 Typical High $20,417.38 | Professional | None | $2,511.89 | $6,456.54 | $20,417.38 |
Network Health Setting Facility Modifier None Typical Low $2,818.38 Median $7,762.47 Typical High $9,120.11 | Facility | None | $2,818.38 | $7,762.47 | $9,120.11 |
Network Health Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | None | $6,456.54 | $6,456.54 | $6,456.54 |
Prevea360 Setting Facility Modifier None Typical Low $812.83 Median $2,570.40 Typical High $4,677.35 | Facility | None | $812.83 | $2,570.40 | $4,677.35 |
Quartz Setting Professional Modifier None Typical Low $2,511.89 Median $5,248.07 Typical High $7,413.10 | Professional | None | $2,511.89 | $5,248.07 | $7,413.10 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $3,235.94 Typical High $5,370.32 | Facility | None | $758.58 | $3,235.94 | $5,370.32 |
Quartz Setting Professional Modifier None Typical Low $2,290.87 Median $2,630.27 Typical High $5,754.40 | Professional | None | $2,290.87 | $2,630.27 | $5,754.40 |
Security Health Setting Professional Modifier None Typical Low $2,754.23 Median $8,511.38 Typical High $8,511.38 | Professional | None | $2,754.23 | $8,511.38 | $8,511.38 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $6,456.54 Typical High $11,481.54 | Facility | None | $1,318.26 | $6,456.54 | $11,481.54 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $4,786.30 Typical High $9,772.37 | Professional | None | $2,238.72 | $4,786.30 | $9,772.37 |
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 $1,000.00 Median $1,000.00 Typical High $12,022.64 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $12,022.64 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $4,897.79 | Professional | 53 · Discontinued | $398.11 | $398.11 | $4,897.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,479.11 Typical High $18,197.01 | Professional | 54 · Surgery only | $1,479.11 | $1,479.11 | $18,197.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $3,630.78 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $3,630.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $2,454.71 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $2,454.71 |
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
$6,457
AK $9,772KY $1,380
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.