How much rates vary
Facilitymedian $3,020 · 10th to 90th $490 to $10,000Professionalmedian $794 · 10th to 90th $288 to $1,738
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 $288.40 Median $288.40 Typical High $14,454.40 | Facility | None | $288.40 | $288.40 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $2,951.21 | Professional | None | $288.40 | $288.40 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $6,165.95 | Facility | None | $1,949.84 | $3,548.13 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $251.19 Median $891.25 Typical High $1,862.09 | Professional | None | $251.19 | $891.25 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $645.65 Typical High $1,584.89 | Facility | None | $549.54 | $645.65 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $676.08 Typical High $1,202.26 | Professional | None | $371.54 | $676.08 | $1,202.26 |
DeanCare Setting Facility Modifier None Typical Low $251.19 Median $7,943.28 Typical High $14,791.08 | Facility | None | $251.19 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $776.25 | Professional | None | $457.09 | $575.44 | $776.25 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $2,454.71 Typical High $18,197.01 | Facility | None | $407.38 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $794.33 Typical High $1,288.25 | Professional | None | $309.03 | $794.33 | $1,288.25 |
Network Health Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $2,089.30 | Facility | None | $323.59 | $323.59 | $2,089.30 |
Network Health Setting Professional Modifier None Typical Low $316.23 Median $537.03 Typical High $1,000.00 | Professional | None | $316.23 | $537.03 | $1,000.00 |
Prevea360 Setting Facility Modifier None Typical Low $199.53 Median $251.19 Typical High $489.78 | Facility | None | $199.53 | $251.19 | $489.78 |
Quartz Setting Professional Modifier None Typical Low $239.88 Median $549.54 Typical High $1,000.00 | Professional | None | $239.88 | $549.54 | $1,000.00 |
Quartz Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $3,630.78 | Facility | None | $645.65 | $1,071.52 | $3,630.78 |
Quartz Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None | $371.54 | $371.54 | $512.86 |
Security Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Security Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,513.56 | $1,737.80 |
United Setting Facility Modifier None Typical Low $602.56 Median $3,090.30 Typical High $18,197.01 | Facility | None | $602.56 | $3,090.30 | $18,197.01 |
United Setting Professional Modifier None Typical Low $263.03 Median $794.33 Typical High $1,230.27 | Professional | None | $263.03 | $794.33 | $1,230.27 |
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 $144.54 Median $144.54 Typical High $1,479.11 | Professional | 52 · Reduced service | $144.54 | $144.54 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $588.84 | Professional | 53 · Discontinued | $57.54 | $57.54 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $213.80 Typical High $2,238.72 | Professional | 54 · Surgery only | $213.80 | $213.80 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $43.65 Typical High $446.68 | Professional | 55 · Aftercare only | $43.65 | $43.65 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $295.12 | Professional | 56 · Pre-op care only | $28.84 | $28.84 | $295.12 |
Where Wisconsin sits
The same service costs 4.0 times more in Wisconsin 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· 1st of 51
$1,000
WI $1,000NY $251
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.