How much rates vary
Facilitymedian $1,862 · 10th to 90th $537 to $4,467Professionalmedian $1,698 · 10th to 90th $537 to $3,890
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 $537.03 Median $1,905.46 Typical High $14,454.40 | Facility | None | $537.03 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $5,248.07 | Professional | None | $537.03 | $537.03 | $5,248.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $1,949.84 Typical High $4,073.80 | Professional | None | $630.96 | $1,949.84 | $4,073.80 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $977.24 Median $2,951.21 Typical High $6,165.95 | Professional | 50 · Both sides | $977.24 | $2,951.21 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $831.76 Typical High $1,659.59 | Facility | None | $512.86 | $831.76 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,122.02 Typical High $2,089.30 | Professional | None | $707.95 | $1,122.02 | $2,089.30 |
DeanCare Setting Facility Modifier None Typical Low $575.44 Median $2,754.23 Typical High $5,128.61 | Facility | None | $575.44 | $2,754.23 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $933.25 Median $1,380.38 Typical High $1,778.28 | Professional | None | $933.25 | $1,380.38 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,548.82 Typical High $4,168.69 | Facility | None | $446.68 | $1,548.82 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $1,737.80 Typical High $3,548.13 | Professional | None | $616.60 | $1,737.80 | $3,548.13 |
Network Health Setting Facility Modifier None Typical Low $954.99 Median $1,819.70 Typical High $3,235.94 | Facility | None | $954.99 | $1,819.70 | $3,235.94 |
Network Health Setting Professional Modifier None Typical Low $758.58 Median $1,318.26 Typical High $1,737.80 | Professional | None | $758.58 | $1,318.26 | $1,737.80 |
Prevea360 Setting Facility Modifier None Typical Low $478.63 Median $575.44 Typical High $1,047.13 | Facility | None | $478.63 | $575.44 | $1,047.13 |
Quartz Setting Professional Modifier None Typical Low $512.86 Median $1,174.90 Typical High $2,238.72 | Professional | None | $512.86 | $1,174.90 | $2,238.72 |
Quartz Setting Facility Modifier None Typical Low $489.78 Median $660.69 Typical High $1,096.48 | Facility | None | $489.78 | $660.69 | $1,096.48 |
Quartz Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,698.24 | Professional | None | $707.95 | $707.95 | $1,698.24 |
Security Health Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
Security Health Setting Professional Modifier None Typical Low $2,570.40 Median $3,090.30 Typical High $4,073.80 | Professional | None | $2,570.40 | $3,090.30 | $4,073.80 |
United Setting Facility Modifier None Typical Low $512.86 Median $2,041.74 Typical High $3,548.13 | Facility | None | $512.86 | $2,041.74 | $3,548.13 |
United Setting Professional Modifier None Typical Low $524.81 Median $1,548.82 Typical High $2,630.27 | Professional | None | $524.81 | $1,548.82 | $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 $269.15 Median $269.15 Typical High $2,630.27 | Professional | 52 · Reduced service | $269.15 | $269.15 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $1,047.13 | Professional | 53 · Discontinued | $109.65 | $109.65 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $3,890.45 | Professional | 54 · Surgery only | $407.38 | $407.38 | $3,890.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $776.25 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $524.81 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $524.81 |
Where Wisconsin sits
The same service costs 4.0 times more in Alaska than in Utah. 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
$1,738
AK $2,089UT $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.