How much rates vary
Facilitymedian $3,020 · 10th to 90th $631 to $10,000Professionalmedian $1,660 · 10th to 90th $603 to $3,631
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 $602.56 Median $602.56 Typical High $14,454.40 | Facility | None | $602.56 | $602.56 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $5,888.44 | Professional | None | $602.56 | $602.56 | $5,888.44 |
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 $524.81 Median $1,862.09 Typical High $3,801.89 | Professional | None | $524.81 | $1,862.09 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,318.26 Typical High $2,398.83 | Facility | None | $758.58 | $1,318.26 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,445.44 Typical High $2,511.89 | Professional | None | $794.33 | $1,445.44 | $2,511.89 |
DeanCare Setting Facility Modifier None Typical Low $524.81 Median $7,943.28 Typical High $14,791.08 | Facility | None | $524.81 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $977.24 Median $1,202.26 Typical High $1,659.59 | Professional | None | $977.24 | $1,202.26 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $2,454.71 Typical High $18,197.01 | Facility | None | $426.58 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,698.24 Typical High $2,691.53 | Professional | None | $630.96 | $1,698.24 | $2,691.53 |
Network Health Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $2,089.30 | Facility | None | $676.08 | $676.08 | $2,089.30 |
Network Health Setting Professional Modifier None Typical Low $660.69 Median $1,148.15 Typical High $2,089.30 | Professional | None | $660.69 | $1,148.15 | $2,089.30 |
Prevea360 Setting Facility Modifier None Typical Low $416.87 Median $524.81 Typical High $1,023.29 | Facility | None | $416.87 | $524.81 | $1,023.29 |
Quartz Setting Professional Modifier None Typical Low $501.19 Median $1,148.15 Typical High $2,137.96 | Professional | None | $501.19 | $1,148.15 | $2,137.96 |
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 $794.33 Median $794.33 Typical High $1,071.52 | Professional | None | $794.33 | $794.33 | $1,071.52 |
Security 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 |
Security Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,162.28 Typical High $3,630.78 | Professional | None | $2,691.53 | $3,162.28 | $3,630.78 |
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 $562.34 Median $1,698.24 Typical High $2,630.27 | Professional | None | $562.34 | $1,698.24 | $2,630.27 |
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 $302.00 Median $302.00 Typical High $2,951.21 | Professional | 52 · Reduced service | $302.00 | $302.00 | $2,951.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $1,202.26 | Professional | 53 · Discontinued | $120.23 | $120.23 | $1,202.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $4,466.84 | Professional | 54 · Surgery only | $457.09 | $457.09 | $4,466.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $891.25 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $891.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $588.84 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $588.84 |
Where Wisconsin sits
The same service costs 3.8 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
$1,950
WI $1,950NY $513
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.