How much rates vary
Facilitymedian $1,202 · 10th to 90th $204 to $5,623Professionalmedian $676 · 10th to 90th $219 to $2,042
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 $169.82 Median $389.05 Typical High $14,454.40 | Facility | None | $169.82 | $389.05 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $389.05 Typical High $3,801.89 | Professional | None | $169.82 | $389.05 | $3,801.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,623.41 Median $5,888.44 Typical High $7,585.78 | Facility | None | $5,623.41 | $5,888.44 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $794.33 Typical High $2,187.76 | Professional | None | $213.80 | $794.33 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $316.23 Median $1,174.90 Typical High $3,311.31 | Professional | 50 · Both sides | $316.23 | $1,174.90 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $891.25 Typical High $2,691.53 | Facility | None | $776.25 | $891.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $549.54 Typical High $1,071.52 | Professional | None | $239.88 | $549.54 | $1,071.52 |
DeanCare Setting Facility Modifier None Typical Low $162.18 Median $2,630.27 Typical High $5,128.61 | Facility | None | $162.18 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $302.00 Median $446.68 Typical High $912.01 | Professional | None | $302.00 | $446.68 | $912.01 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $912.01 Typical High $1,778.28 | Facility | None | $204.17 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $1,202.26 Typical High $1,949.84 | Professional | None | $389.05 | $1,202.26 | $1,949.84 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $2,344.23 | Facility | None | $831.76 | $933.25 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $1,318.26 | Professional | None | $380.19 | $588.84 | $1,318.26 |
Prevea360 Setting Facility Modifier None Typical Low $138.04 Median $269.15 Typical High $602.56 | Facility | None | $138.04 | $269.15 | $602.56 |
Quartz Setting Professional Modifier None Typical Low $269.15 Median $549.54 Typical High $1,288.25 | Professional | None | $269.15 | $549.54 | $1,288.25 |
Quartz Setting Facility Modifier None Typical Low $870.96 Median $2,511.89 Typical High $3,019.95 | Facility | None | $870.96 | $2,511.89 | $3,019.95 |
Quartz Setting Professional Modifier None Typical Low $239.88 Median $457.09 Typical High $549.54 | Professional | None | $239.88 | $457.09 | $549.54 |
Security Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,584.89 | Professional | None | $660.69 | $660.69 | $1,584.89 |
Security Health Setting Professional Modifier None Typical Low $741.31 Median $1,023.29 Typical High $2,290.87 | Professional | None | $741.31 | $1,023.29 | $2,290.87 |
The Alliance Setting Professional Modifier None Typical Low $302.00 Median $891.25 Typical High $1,071.52 | Professional | None | $302.00 | $891.25 | $1,071.52 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,202.26 Typical High $1,862.09 | Facility | None | $218.78 | $1,202.26 | $1,862.09 |
United Setting Professional Modifier None Typical Low $208.93 Median $602.56 Typical High $1,584.89 | Professional | None | $208.93 | $602.56 | $1,584.89 |
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 $125.89 Median $125.89 Typical High $295.12 | Facility | 54 · Surgery only | $125.89 | $125.89 | $295.12 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $58.88 | Facility | 55 · Aftercare only | $25.70 | $25.70 | $58.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $38.90 | Facility | 56 · Pre-op care only | $16.98 | $16.98 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $295.12 Typical High $2,884.03 | Professional | 54 · Surgery only | $125.89 | $295.12 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $58.88 Typical High $575.44 | Professional | 55 · Aftercare only | $25.70 | $58.88 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $38.90 Typical High $380.19 | Professional | 56 · Pre-op care only | $16.98 | $38.90 | $380.19 |
Where Wisconsin sits
The same service costs 3.4 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
$741
AK $759NE $224
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.