How much rates vary
Facilitymedian $5,370 · 10th to 90th $759 to $9,120Professionalmedian $832 · 10th to 90th $269 to $1,950
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 $269.15 Median $6,456.54 Typical High $14,454.40 | Facility | None | $269.15 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $2,691.53 | Professional | None | $269.15 | $269.15 | $2,691.53 |
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 $323.59 Median $977.24 Typical High $2,041.74 | Professional | None | $323.59 | $977.24 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,380.38 Typical High $4,365.16 | Facility | None | $676.08 | $1,380.38 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $1,047.13 | Professional | None | $354.81 | $537.03 | $1,047.13 |
DeanCare Setting Facility Modifier None Typical Low $281.84 Median $3,311.31 Typical High $6,025.60 | Facility | None | $281.84 | $3,311.31 | $6,025.60 |
DeanCare Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $891.25 | Professional | None | $467.74 | $691.83 | $891.25 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $3,630.78 Typical High $8,912.51 | Facility | None | $741.31 | $3,630.78 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $870.96 Typical High $1,778.28 | Professional | None | $309.03 | $870.96 | $1,778.28 |
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 $380.19 Median $660.69 Typical High $851.14 | Professional | None | $380.19 | $660.69 | $851.14 |
Prevea360 Setting Facility Modifier None Typical Low $239.88 Median $281.84 Typical High $549.54 | Facility | None | $239.88 | $281.84 | $549.54 |
Quartz Setting Professional Modifier None Typical Low $257.04 Median $588.84 Typical High $1,122.02 | Professional | None | $257.04 | $588.84 | $1,122.02 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $2,884.03 Typical High $4,786.30 | Facility | None | $812.83 | $2,884.03 | $4,786.30 |
Quartz Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $851.14 | Professional | None | $354.81 | $354.81 | $851.14 |
Security Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Security Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $2,041.74 | Professional | None | $1,288.25 | $1,548.82 | $2,041.74 |
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 $263.03 Median $776.25 Typical High $1,318.26 | Professional | None | $263.03 | $776.25 | $1,318.26 |
3 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 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $1,995.26 | Professional | 54 · Surgery only | $204.17 | $204.17 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $398.11 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $269.15 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $269.15 |
Where Wisconsin sits
The same service costs 7.2 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· 4th of 51
$1,122
OK $1,950NY $269
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.