How much rates vary
Facilitymedian $1,862 · 10th to 90th $407 to $4,365Professionalmedian $355 · 10th to 90th $112 to $708
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 $97.72 Median $1,905.46 Typical High $14,454.40 | Facility | None | $97.72 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $1,288.25 | Professional | None | $97.72 | $97.72 | $1,288.25 |
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 $128.82 Median $407.38 Typical High $707.95 | Professional | None | $128.82 | $407.38 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $645.65 Typical High $1,122.02 | Facility | None | $275.42 | $645.65 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $501.19 | Professional | None | $169.82 | $234.42 | $501.19 |
DeanCare Setting Facility Modifier None Typical Low $114.82 Median $2,818.38 Typical High $5,128.61 | Facility | None | $114.82 | $2,818.38 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $380.19 | Professional | None | $190.55 | $281.84 | $380.19 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $1,548.82 Typical High $3,019.95 | Facility | None | $371.54 | $1,548.82 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $338.84 Typical High $776.25 | Professional | None | $123.03 | $338.84 | $776.25 |
Network Health Setting Facility Modifier None Typical Low $891.25 Median $1,819.70 Typical High $3,235.94 | Facility | None | $891.25 | $1,819.70 | $3,235.94 |
Network Health Setting Professional Modifier None Typical Low $154.88 Median $281.84 Typical High $489.78 | Professional | None | $154.88 | $281.84 | $489.78 |
Prevea360 Setting Facility Modifier None Typical Low $95.50 Median $123.03 Typical High $229.09 | Facility | None | $95.50 | $123.03 | $229.09 |
Quartz Setting Professional Modifier None Typical Low $123.03 Median $281.84 Typical High $446.68 | Professional | None | $123.03 | $281.84 | $446.68 |
Quartz Setting Facility Modifier None Typical Low $537.03 Median $758.58 Typical High $1,174.90 | Facility | None | $537.03 | $758.58 | $1,174.90 |
Quartz Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $407.38 | Professional | None | $186.21 | $199.53 | $407.38 |
Security Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Security Health Setting Professional Modifier None Typical Low $380.19 Median $616.60 Typical High $758.58 | Professional | None | $380.19 | $616.60 | $758.58 |
United Setting Facility Modifier None Typical Low $512.86 Median $2,041.74 Typical High $3,548.13 | Facility | None | $512.86 | $2,041.74 | $3,548.13 |
United Setting Professional Modifier None Typical Low $112.20 Median $316.23 Typical High $588.84 | Professional | None | $112.20 | $316.23 | $588.84 |
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 $48.98 Median $48.98 Typical High $645.65 | Professional | 52 · Reduced service | $48.98 | $48.98 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $257.04 | Professional | 53 · Discontinued | $19.50 | $19.50 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $72.44 Typical High $977.24 | Professional | 54 · Surgery only | $72.44 | $72.44 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $14.79 Typical High $194.98 | Professional | 55 · Aftercare only | $14.79 | $14.79 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $128.82 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $128.82 |
Where Wisconsin sits
The same service costs 4.4 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· 3rd of 51
$468
AK $513NY $117
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.