How much rates vary
Facilitymedian $7,586 · 10th to 90th $776 to $15,488Professionalmedian $661 · 10th to 90th $245 to $1,288
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 $251.19 Median $6,456.54 Typical High $14,454.40 | Facility | None | $251.19 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $2,238.72 | Professional | None | $251.19 | $251.19 | $2,238.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $12,302.69 Typical High $19,952.62 | Facility | None | $5,888.44 | $12,302.69 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $776.25 Typical High $1,348.96 | Professional | None | $245.47 | $776.25 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $2,187.76 Typical High $8,912.51 | Facility | None | $512.86 | $2,187.76 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $426.58 Typical High $794.33 | Professional | None | $269.15 | $426.58 | $794.33 |
DeanCare Setting Facility Modifier None Typical Low $229.09 Median $3,311.31 Typical High $6,025.60 | Facility | None | $229.09 | $3,311.31 | $6,025.60 |
DeanCare Setting Professional Modifier None Typical Low $346.74 Median $524.81 Typical High $676.08 | Professional | None | $346.74 | $524.81 | $676.08 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $4,466.84 Typical High $12,589.25 | Facility | None | $741.31 | $4,466.84 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $676.08 Typical High $1,174.90 | Professional | None | $245.47 | $676.08 | $1,174.90 |
Network Health Setting Facility Modifier None Typical Low $2,691.53 Median $7,762.47 Typical High $9,120.11 | Facility | None | $2,691.53 | $7,762.47 | $9,120.11 |
Network Health Setting Professional Modifier None Typical Low $288.40 Median $602.56 Typical High $691.83 | Professional | None | $288.40 | $602.56 | $691.83 |
Prevea360 Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $416.87 | Facility | None | $181.97 | $229.09 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $199.53 Median $457.09 Typical High $851.14 | Professional | None | $199.53 | $457.09 | $851.14 |
Quartz Setting Facility Modifier None Typical Low $1,174.90 Median $6,456.54 Typical High $9,772.37 | Facility | None | $1,174.90 | $6,456.54 | $9,772.37 |
Quartz Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $660.69 | Professional | None | $269.15 | $269.15 | $660.69 |
Security Health Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Security Health Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,230.27 | Professional | None | $891.25 | $1,174.90 | $1,230.27 |
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 $213.80 Median $630.96 Typical High $1,122.02 | Professional | None | $213.80 | $630.96 | $1,122.02 |
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 $125.89 Median $125.89 Typical High $1,122.02 | Professional | 52 · Reduced service | $125.89 | $125.89 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $457.09 | Professional | 53 · Discontinued | $50.12 | $50.12 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $1,698.24 | Professional | 54 · Surgery only | $190.55 | $190.55 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $338.84 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $223.87 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $223.87 |
Where Wisconsin sits
The same service costs 6.9 times more in Tennessee 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· 3rd of 51
$912
TN $1,413NY $204
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.