How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,230 to $10,965Professionalmedian $1,778 · 10th to 90th $427 to $6,761
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 $346.74 Median $1,258.93 Typical High $14,454.40 | Facility | None | $346.74 | $1,258.93 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $1,258.93 Typical High $10,964.78 | Professional | None | $346.74 | $1,258.93 | $10,964.78 |
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 $416.87 Median $1,949.84 Typical High $7,585.78 | Professional | None | $416.87 | $1,949.84 | $7,585.78 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $616.60 Median $2,951.21 Typical High $10,715.19 | Professional | 50 · Both sides | $616.60 | $2,951.21 | $10,715.19 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,884.03 Typical High $4,677.35 | Facility | None | $2,137.96 | $2,884.03 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $1,778.28 Typical High $3,467.37 | Professional | None | $489.78 | $1,778.28 | $3,467.37 |
DeanCare Setting Facility Modifier None Typical Low $331.13 Median $2,630.27 Typical High $5,128.61 | Facility | None | $331.13 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $630.96 Median $912.01 Typical High $2,884.03 | Professional | None | $630.96 | $912.01 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $4,265.80 Typical High $10,964.78 | Facility | None | $851.14 | $4,265.80 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $4,168.69 Typical High $9,120.11 | Professional | None | $1,318.26 | $4,168.69 | $9,120.11 |
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 $776.25 Median $1,380.38 Typical High $4,466.84 | Professional | None | $776.25 | $1,380.38 | $4,466.84 |
Prevea360 Setting Facility Modifier None Typical Low $288.40 Median $575.44 Typical High $1,949.84 | Facility | None | $288.40 | $575.44 | $1,949.84 |
Quartz Setting Professional Modifier None Typical Low $562.34 Median $1,202.26 Typical High $4,168.69 | Professional | None | $562.34 | $1,202.26 | $4,168.69 |
Quartz Setting Facility Modifier None Typical Low $1,995.26 Median $3,019.95 Typical High $5,011.87 | Facility | None | $1,995.26 | $3,019.95 | $5,011.87 |
Quartz Setting Professional Modifier None Typical Low $489.78 Median $933.25 Typical High $1,778.28 | Professional | None | $489.78 | $933.25 | $1,778.28 |
Security Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $5,370.32 | Professional | None | $1,380.38 | $1,380.38 | $5,370.32 |
Security Health Setting Professional Modifier None Typical Low $1,479.11 Median $5,128.61 Typical High $8,317.64 | Professional | None | $1,479.11 | $5,128.61 | $8,317.64 |
The Alliance Setting Professional Modifier None Typical Low $831.76 Median $2,041.74 Typical High $6,165.95 | Professional | None | $831.76 | $2,041.74 | $6,165.95 |
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 $426.58 Median $1,513.56 Typical High $5,888.44 | Professional | None | $426.58 | $1,513.56 | $5,888.44 |
6 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 Facility Modifier 54 · Surgery only Typical Low $263.03 Median $263.03 Typical High $933.25 | Facility | 54 · Surgery only | $263.03 | $263.03 | $933.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $186.21 | Facility | 55 · Aftercare only | $52.48 | $52.48 | $186.21 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $125.89 | Facility | 56 · Pre-op care only | $34.67 | $34.67 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $933.25 Typical High $8,912.51 | Professional | 54 · Surgery only | $263.03 | $933.25 | $8,912.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $186.21 Typical High $1,778.28 | Professional | 55 · Aftercare only | $52.48 | $186.21 | $1,778.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $125.89 Typical High $1,174.90 | Professional | 56 · Pre-op care only | $34.67 | $125.89 | $1,174.90 |
Where Wisconsin sits
The same service costs 4.8 times more in Alaska than in Nebraska. 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
$2,344
AK $2,512NE $525
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.