How much rates vary
Facilitymedian $5,754 · 10th to 90th $1,230 to $11,220Professionalmedian $2,188 · 10th to 90th $776 to $5,129
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 $1,174.90 Median $1,905.46 Typical High $14,454.40 | Facility | None | $1,174.90 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,174.90 Typical High $7,413.10 | Professional | None (both parts) | $1,023.29 | $1,174.90 | $7,413.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $407.38 Typical High $3,801.89 | Professional | 26 · Professional part | $281.84 | $407.38 | $3,801.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $758.58 | $758.58 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $6,760.83 Typical High $11,481.54 | Facility | None | $2,041.74 | $6,760.83 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $707.95 Median $2,511.89 Typical High $5,495.41 | Professional | None (both parts) | $707.95 | $2,511.89 | $5,495.41 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $812.83 Typical High $1,905.46 | Professional | 26 · Professional part | $245.47 | $812.83 | $1,905.46 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $1,659.59 Typical High $3,548.13 | Professional | TC · Technical part | $478.63 | $1,659.59 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,862.09 Typical High $3,090.30 | Facility | None | $1,659.59 | $1,862.09 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,862.09 Typical High $2,570.40 | Professional | None (both parts) | $912.01 | $1,862.09 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $616.60 Typical High $912.01 | Professional | 26 · Professional part | $316.23 | $616.60 | $912.01 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $1,230.27 Typical High $1,778.28 | Professional | TC · Technical part | $602.56 | $1,230.27 | $1,778.28 |
DeanCare Setting Facility Modifier None Typical Low $575.44 Median $676.08 Typical High $1,288.25 | Facility | None | $575.44 | $676.08 | $1,288.25 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,513.56 Typical High $2,089.30 | Professional | None (both parts) | $1,148.15 | $1,513.56 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $4,073.80 Typical High $10,964.78 | Facility | None | $870.96 | $4,073.80 | $10,964.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $691.83 Median $2,089.30 Typical High $4,570.88 | Professional | None (both parts) | $691.83 | $2,089.30 | $4,570.88 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $707.95 Typical High $1,380.38 | Professional | 26 · Professional part | $263.03 | $707.95 | $1,380.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $1,513.56 Typical High $2,884.03 | Professional | TC · Technical part | $478.63 | $1,513.56 | $2,884.03 |
Network Health Setting Facility Modifier None Typical Low $2,691.53 Median $7,762.47 Typical High $9,120.11 | Facility | None | $2,691.53 | $7,762.47 | $9,120.11 |
Network Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,778.28 Typical High $2,187.76 | Professional | None (both parts) | $912.01 | $1,778.28 | $2,187.76 |
Prevea360 Setting Facility Modifier None Typical Low $575.44 Median $676.08 Typical High $1,288.25 | Facility | None | $575.44 | $676.08 | $1,288.25 |
Quartz Setting Professional Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $2,754.23 | Professional | None | $1,258.93 | $1,659.59 | $2,754.23 |
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 (both parts) Typical Low $912.01 Median $912.01 Typical High $1,949.84 | Professional | None (both parts) | $912.01 | $912.01 | $1,949.84 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $645.65 | Professional | 26 · Professional part | $316.23 | $316.23 | $645.65 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $1,288.25 | Professional | TC · Technical part | $602.56 | $602.56 | $1,288.25 |
Security Health Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
Security Health Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $4,466.84 Typical High $5,128.61 | Professional | None (both parts) | $3,388.44 | $4,466.84 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $6,456.54 Typical High $11,481.54 | Facility | None | $1,318.26 | $6,456.54 | $11,481.54 |
United Setting Professional Modifier None (both parts) Typical Low $645.65 Median $2,137.96 Typical High $4,570.88 | Professional | None (both parts) | $645.65 | $2,137.96 | $4,570.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $676.08 Typical High $1,412.54 | Professional | 26 · Professional part | $257.04 | $676.08 | $1,412.54 |
United Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $1,513.56 Typical High $3,162.28 | Professional | TC · Technical part | $426.58 | $1,513.56 | $3,162.28 |
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 $588.84 Median $588.84 Typical High $3,715.35 | Professional | 52 · Reduced service | $588.84 | $588.84 | $3,715.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $1,479.11 | Professional | 53 · Discontinued | $234.42 | $234.42 | $1,479.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $5,623.41 | Professional | 54 · Surgery only | $870.96 | $870.96 | $5,623.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $1,122.02 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $1,122.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $741.31 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $741.31 |
Where Wisconsin sits
The same service costs 4.4 times more in Wisconsin than in Texas. 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· 1st of 51
$2,630
WI $2,630TX $603
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.