How much rates vary
Facilitymedian $5,888 · 10th to 90th $759 to $13,183Professionalmedian $1,122 · 10th to 90th $363 to $2,630
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 $363.08 Median $1,905.46 Typical High $14,454.40 | Facility | None | $363.08 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $3,548.13 | Professional | None | $363.08 | $363.08 | $3,548.13 |
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 $436.52 Median $1,318.26 Typical High $2,754.23 | Professional | None | $436.52 | $1,318.26 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $645.65 Median $1,995.26 Typical High $4,168.69 | Professional | 50 · Both sides | $645.65 | $1,995.26 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,548.82 Typical High $6,918.31 | Facility | None | $707.95 | $1,548.82 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $758.58 Typical High $1,380.38 | Professional | None | $478.63 | $758.58 | $1,380.38 |
DeanCare Setting Facility Modifier None Typical Low $407.38 Median $2,754.23 Typical High $5,128.61 | Facility | None | $407.38 | $2,754.23 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $616.60 Median $912.01 Typical High $1,174.90 | Professional | None | $616.60 | $912.01 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $3,388.44 Typical High $9,549.93 | Facility | None | $691.83 | $3,388.44 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $1,148.15 Typical High $2,398.83 | Professional | None | $416.87 | $1,148.15 | $2,398.83 |
Network Health Setting Facility Modifier None Typical Low $1,737.80 Median $5,754.40 Typical High $7,762.47 | Facility | None | $1,737.80 | $5,754.40 | $7,762.47 |
Network Health Setting Professional Modifier None Typical Low $512.86 Median $870.96 Typical High $1,148.15 | Professional | None | $512.86 | $870.96 | $1,148.15 |
Prevea360 Setting Facility Modifier None Typical Low $354.81 Median $478.63 Typical High $691.83 | Facility | None | $354.81 | $478.63 | $691.83 |
Quartz Setting Professional Modifier None Typical Low $346.74 Median $794.33 Typical High $1,479.11 | Professional | None | $346.74 | $794.33 | $1,479.11 |
Quartz Setting Facility Modifier None Typical Low $537.03 Median $4,570.88 Typical High $7,585.78 | Facility | None | $537.03 | $4,570.88 | $7,585.78 |
Quartz Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $1,122.02 | Professional | None | $478.63 | $478.63 | $1,122.02 |
Security Health Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Security Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,041.74 Typical High $2,691.53 | Professional | None | $1,698.24 | $2,041.74 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $4,786.30 Typical High $8,709.64 | Facility | None | $1,071.52 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $354.81 Median $1,023.29 Typical High $1,778.28 | Professional | None | $354.81 | $1,023.29 | $1,778.28 |
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 $181.97 Median $181.97 Typical High $1,778.28 | Professional | 52 · Reduced service | $181.97 | $181.97 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $707.95 | Professional | 53 · Discontinued | $72.44 | $72.44 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $2,630.27 | Professional | 54 · Surgery only | $275.42 | $275.42 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $524.81 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $354.81 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $354.81 |
Where Wisconsin sits
The same service costs 7.8 times more in Oklahoma 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· 3rd of 51
$1,479
OK $2,630NY $339
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.