How much rates vary
Facilitymedian $1,660 · 10th to 90th $331 to $18,197Professionalmedian $562 · 10th to 90th $209 to $1,318
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 $331.13 Median $331.13 Typical High $14,454.40 | Facility | None | $331.13 | $331.13 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $1,318.26 | Professional | None | $331.13 | $331.13 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $660.69 Typical High $1,548.82 | Professional | None | $190.55 | $660.69 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $512.86 Typical High $831.76 | Facility | None | $446.68 | $512.86 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $501.19 Typical High $707.95 | Professional | None | $257.04 | $501.19 | $707.95 |
DeanCare Setting Facility Modifier None Typical Low $190.55 Median $257.04 Typical High $346.74 | Facility | None | $190.55 | $257.04 | $346.74 |
DeanCare Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $602.56 | Professional | None | $316.23 | $426.58 | $602.56 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $2,454.71 Typical High $18,197.01 | Facility | None | $346.74 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $562.34 Typical High $1,148.15 | Professional | None | $218.78 | $562.34 | $1,148.15 |
Network Health Setting Facility Modifier None Typical Low $263.03 Median $354.81 Typical High $2,089.30 | Facility | None | $263.03 | $354.81 | $2,089.30 |
Network Health Setting Professional Modifier None Typical Low $257.04 Median $436.52 Typical High $537.03 | Professional | None | $257.04 | $436.52 | $537.03 |
Prevea360 Setting Facility Modifier None Typical Low $190.55 Median $257.04 Typical High $346.74 | Facility | None | $190.55 | $257.04 | $346.74 |
Quartz Setting Professional Modifier None Typical Low $181.97 Median $398.11 Typical High $758.58 | Professional | None | $181.97 | $398.11 | $758.58 |
Quartz Setting Facility Modifier None Typical Low $29,512.09 Median $29,512.09 Typical High $29,512.09 | Facility | None | $29,512.09 | $29,512.09 | $29,512.09 |
Quartz Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $524.81 | Professional | None | $257.04 | $257.04 | $524.81 |
Security Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Security Health Setting Professional Modifier None Typical Low $758.58 Median $1,174.90 Typical High $1,584.89 | Professional | None | $758.58 | $1,174.90 | $1,584.89 |
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 $204.17 Median $575.44 Typical High $1,258.93 | Professional | None | $204.17 | $575.44 | $1,258.93 |
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 $165.96 Median $165.96 Typical High $660.69 | Professional | 52 · Reduced service | $165.96 | $165.96 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $269.15 | Professional | 53 · Discontinued | $66.07 | $66.07 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $1,000.00 | Professional | 54 · Surgery only | $245.47 | $245.47 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $199.53 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $131.83 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $131.83 |
Where Wisconsin sits
The same service costs 3.8 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
$631
AK $741NY $195
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.