How much rates vary
Facilitymedian $2,455 · 10th to 90th $661 to $16,218Professionalmedian $2,239 · 10th to 90th $912 to $3,467
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 $891.25 Median $891.25 Typical High $1,174.90 | Facility | None | $891.25 | $891.25 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $3,090.30 | Professional | None | $758.58 | $1,023.29 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $2,511.89 Typical High $3,548.13 | Professional | None | $1,096.48 | $2,511.89 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $2,951.21 Typical High $3,981.07 | Facility | None | $2,570.40 | $2,951.21 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $3,311.31 | Professional | None | $1,047.13 | $1,659.59 | $3,311.31 |
DeanCare Setting Facility Modifier None Typical Low $812.83 Median $7,244.36 Typical High $14,454.40 | Facility | None | $812.83 | $7,244.36 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $2,691.53 | Professional | None | $1,584.89 | $2,041.74 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $1,698.24 Typical High $18,197.01 | Facility | None | $478.63 | $1,698.24 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $2,398.83 Typical High $5,754.40 | Professional | None | $933.25 | $2,398.83 | $5,754.40 |
Network Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,230.27 | Facility | None | $1,122.02 | $1,122.02 | $1,230.27 |
Network Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $2,754.23 | Professional | None | $1,380.38 | $1,905.46 | $2,754.23 |
Prevea360 Setting Facility Modifier None Typical Low $676.08 Median $1,071.52 Typical High $1,659.59 | Facility | None | $676.08 | $1,071.52 | $1,659.59 |
Quartz Setting Professional Modifier None Typical Low $1,174.90 Median $2,137.96 Typical High $3,235.94 | Professional | None | $1,174.90 | $2,137.96 | $3,235.94 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $2,691.53 Typical High $3,630.78 | Facility | None | $812.83 | $2,691.53 | $3,630.78 |
Quartz Setting Professional Modifier None Typical Low $1,047.13 Median $1,380.38 Typical High $2,089.30 | Professional | None | $1,047.13 | $1,380.38 | $2,089.30 |
Security Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,819.70 | Professional | None | $1,380.38 | $1,380.38 | $1,819.70 |
Security Health Setting Professional Modifier None Typical Low $1,348.96 Median $2,398.83 Typical High $3,090.30 | Professional | None | $1,348.96 | $2,398.83 | $3,090.30 |
United Setting Facility Modifier None Typical Low $602.56 Median $3,090.30 Typical High $18,197.01 | Facility | None | $602.56 | $3,090.30 | $18,197.01 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,905.46 Typical High $3,388.44 | Professional | None | $776.25 | $1,905.46 | $3,388.44 |
6 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 Facility Modifier 52 · Reduced service Typical Low $446.68 Median $446.68 Typical High $588.84 | Facility | 52 · Reduced service | $446.68 | $446.68 | $588.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $177.83 | Facility | 55 · Aftercare only | $134.90 | $134.90 | $177.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $117.49 | Facility | 56 · Pre-op care only | $89.13 | $89.13 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $588.84 Typical High $1,949.84 | Professional | 52 · Reduced service | $446.68 | $588.84 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $177.83 Typical High $588.84 | Professional | 55 · Aftercare only | $134.90 | $177.83 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $117.49 Typical High $389.05 | Professional | 56 · Pre-op care only | $89.13 | $117.49 | $389.05 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in Indiana. 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
$2,239
AK $2,512IN $776
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.