How much rates vary
Facilitymedian $8,710 · 10th to 90th $776 to $21,380Professionalmedian $2,570 · 10th to 90th $955 to $5,754
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 $954.99 Median $954.99 Typical High $14,454.40 | Facility | None | $954.99 | $954.99 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $8,912.51 | Professional | None | $954.99 | $954.99 | $8,912.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $12,022.64 Median $17,782.79 Typical High $26,302.68 | Facility | None | $12,022.64 | $17,782.79 | $26,302.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $2,951.21 Typical High $6,025.60 | Professional | None | $831.76 | $2,951.21 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,819.70 Typical High $3,090.30 | Facility | None | $758.58 | $1,819.70 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $2,238.72 Typical High $3,981.07 | Professional | None | $1,230.27 | $2,238.72 | $3,981.07 |
DeanCare Setting Facility Modifier None Typical Low $831.76 Median $7,943.28 Typical High $14,791.08 | Facility | None | $831.76 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $1,513.56 Median $1,905.46 Typical High $2,570.40 | Professional | None | $1,513.56 | $1,905.46 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,454.71 Typical High $18,197.01 | Facility | None | $436.52 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $2,570.40 Typical High $4,265.80 | Professional | None | $977.24 | $2,570.40 | $4,265.80 |
Network Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,089.30 | Facility | None | $1,071.52 | $1,071.52 | $2,089.30 |
Network Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $3,311.31 | Professional | None | $1,047.13 | $1,778.28 | $3,311.31 |
Prevea360 Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $1,621.81 | Facility | None | $645.65 | $831.76 | $1,621.81 |
Quartz Setting Professional Modifier None Typical Low $794.33 Median $1,819.70 Typical High $3,311.31 | Professional | None | $794.33 | $1,819.70 | $3,311.31 |
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 $1,230.27 Median $1,230.27 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,230.27 | $1,698.24 |
Security Health Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
Security Health Setting Professional Modifier None Typical Low $4,168.69 Median $5,011.87 Typical High $5,754.40 | Professional | None | $4,168.69 | $5,011.87 | $5,754.40 |
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 $870.96 Median $2,630.27 Typical High $4,168.69 | Professional | None | $870.96 | $2,630.27 | $4,168.69 |
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 $478.63 Median $478.63 Typical High $4,466.84 | Professional | 52 · Reduced service | $478.63 | $478.63 | $4,466.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $1,778.28 | Professional | 53 · Discontinued | $190.55 | $190.55 | $1,778.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $6,606.93 | Professional | 54 · Surgery only | $707.95 | $707.95 | $6,606.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $1,318.26 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $1,318.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $891.25 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $891.25 |
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
$3,090
WI $3,090NY $813
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.