How much rates vary
Facilitymedian $4,365 · 10th to 90th $759 to $13,804Professionalmedian $1,778 · 10th to 90th $575 to $4,169
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 $575.44 Median $1,905.46 Typical High $14,454.40 | Facility | None | $575.44 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $6,918.31 | Professional | None | $575.44 | $575.44 | $6,918.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,754.40 Median $9,332.54 Typical High $16,982.44 | Facility | None | $5,754.40 | $9,332.54 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $2,089.30 Typical High $4,365.16 | Professional | None | $691.83 | $2,089.30 | $4,365.16 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $3,162.28 Typical High $6,606.93 | Professional | 50 · Both sides | $1,023.29 | $3,162.28 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $2,398.83 Typical High $12,589.25 | Facility | None | $1,023.29 | $2,398.83 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,148.15 Typical High $2,187.76 | Professional | None | $758.58 | $1,148.15 | $2,187.76 |
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 $977.24 Median $1,445.44 Typical High $1,862.09 | Professional | None | $977.24 | $1,445.44 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $2,398.83 Typical High $6,309.57 | Facility | None | $602.56 | $2,398.83 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,819.70 Typical High $3,801.89 | Professional | None | $660.69 | $1,819.70 | $3,801.89 |
Network Health Setting Facility Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,445.44 | $2,818.38 | $4,786.30 |
Network Health Setting Professional Modifier None Typical Low $812.83 Median $1,380.38 Typical High $1,819.70 | Professional | None | $812.83 | $1,380.38 | $1,819.70 |
Prevea360 Setting Facility Modifier None Typical Low $562.34 Median $602.56 Typical High $1,096.48 | Facility | None | $562.34 | $602.56 | $1,096.48 |
Quartz Setting Professional Modifier None Typical Low $549.54 Median $1,258.93 Typical High $2,344.23 | Professional | None | $549.54 | $1,258.93 | $2,344.23 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $8,317.64 Typical High $13,803.84 | Facility | None | $812.83 | $8,317.64 | $13,803.84 |
Quartz Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,778.28 | Professional | None | $758.58 | $758.58 | $1,778.28 |
Security Health Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
Security Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,235.94 Typical High $4,265.80 | Professional | None | $2,691.53 | $3,235.94 | $4,265.80 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $4,897.79 | Facility | None | $707.95 | $2,818.38 | $4,897.79 |
United Setting Professional Modifier None Typical Low $549.54 Median $1,621.81 Typical High $2,754.23 | Professional | None | $549.54 | $1,621.81 | $2,754.23 |
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 $288.40 Median $288.40 Typical High $3,467.37 | Professional | 52 · Reduced service | $288.40 | $288.40 | $3,467.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $1,380.38 | Professional | 53 · Discontinued | $114.82 | $114.82 | $1,380.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $5,128.61 | Professional | 54 · Surgery only | $426.58 | $426.58 | $5,128.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $1,023.29 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $1,023.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $691.83 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $691.83 |
Where Wisconsin sits
The same service costs 3.9 times more in Alaska 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· 2nd of 51
$2,138
AK $2,239NY $575
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.