How much rates vary
Facilitymedian $1,905 · 10th to 90th $447 to $4,467Professionalmedian $437 · 10th to 90th $162 to $891
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 $162.18 Median $1,905.46 Typical High $14,454.40 | Facility | None | $162.18 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $162.18 Typical High $3,090.30 | Professional | None | $154.88 | $162.18 | $3,090.30 |
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 $177.83 Median $512.86 Typical High $891.25 | Professional | None | $177.83 | $512.86 | $891.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $112.20 Median $323.59 Typical High $562.34 | Professional | 62 · Two surgeons | $112.20 | $323.59 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $794.33 Typical High $1,445.44 | Facility | None | $398.11 | $794.33 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $524.81 | Professional | None | $204.17 | $263.03 | $524.81 |
DeanCare Setting Facility Modifier None Typical Low $173.78 Median $4,365.16 Typical High $7,762.47 | Facility | None | $173.78 | $4,365.16 | $7,762.47 |
DeanCare Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $1,862.09 Typical High $3,630.78 | Facility | None | $407.38 | $1,862.09 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $371.54 Typical High $724.44 | Professional | None | $151.36 | $371.54 | $724.44 |
Network Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $3,235.94 | Facility | None | $1,122.02 | $1,819.70 | $3,235.94 |
Network Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $416.87 | Professional | None | $389.05 | $389.05 | $416.87 |
Prevea360 Setting Facility Modifier None Typical Low $144.54 Median $173.78 Typical High $288.40 | Facility | None | $144.54 | $173.78 | $288.40 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $316.23 Typical High $457.09 | Professional | None | $147.91 | $316.23 | $457.09 |
Quartz Setting Facility Modifier None Typical Low $630.96 Median $933.25 Typical High $1,548.82 | Facility | None | $630.96 | $933.25 | $1,548.82 |
Quartz Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $416.87 | Professional | None | $213.80 | $213.80 | $416.87 |
Security Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Security Health Setting Professional Modifier None Typical Low $165.96 Median $229.09 Typical High $1,000.00 | Professional | None | $165.96 | $229.09 | $1,000.00 |
United Setting Facility Modifier None Typical Low $512.86 Median $2,238.72 Typical High $3,548.13 | Facility | None | $512.86 | $2,238.72 | $3,548.13 |
United Setting Professional Modifier None Typical Low $131.83 Median $363.08 Typical High $660.69 | Professional | None | $131.83 | $363.08 | $660.69 |
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 $81.28 Median $81.28 Typical High $1,548.82 | Professional | 52 · Reduced service | $81.28 | $81.28 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $616.60 | Professional | 53 · Discontinued | $32.36 | $32.36 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $123.03 Typical High $2,344.23 | Professional | 54 · Surgery only | $123.03 | $123.03 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $467.74 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $309.03 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $309.03 |
Where Wisconsin sits
The same service costs 4.3 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
$562
AK $603NY $141
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.