How much rates vary
Facilitymedian $11,220 · 10th to 90th $1,349 to $14,791Professionalmedian $3,467 · 10th to 90th $871 to $12,589
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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $36,307.81 | Professional | None | $3,019.95 | $3,019.95 | $36,307.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,220.18 Median $11,481.54 Typical High $14,791.08 | Facility | None | $11,220.18 | $11,481.54 | $14,791.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $7,244.36 Typical High $12,589.25 | Professional | None | $2,454.71 | $7,244.36 | $12,589.25 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $1,995.26 | Facility | None | $1,174.90 | $1,348.96 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $2,951.21 Typical High $5,623.41 | Professional | None | $616.60 | $2,951.21 | $5,623.41 |
DeanCare Setting Facility Modifier None Typical Low $407.38 Median $501.19 Typical High $9,332.54 | Facility | None | $407.38 | $501.19 | $9,332.54 |
DeanCare Setting Professional Modifier None Typical Low $457.09 Median $46,773.51 Typical High $50,118.72 | Professional | None | $457.09 | $46,773.51 | $50,118.72 |
Medica Setting Facility Modifier None Typical Low $3,890.45 Median $12,022.64 Typical High $15,848.93 | Facility | None | $3,890.45 | $12,022.64 | $15,848.93 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $1,288.25 Typical High $19,952.62 | Professional | None | $489.78 | $1,288.25 | $19,952.62 |
Network Health Setting Facility Modifier None Typical Low $8,317.64 Median $9,549.93 Typical High $15,848.93 | Facility | None | $8,317.64 | $9,549.93 | $15,848.93 |
Network Health Setting Professional Modifier None Typical Low $9,549.93 Median $9,772.37 Typical High $9,772.37 | Professional | None | $9,549.93 | $9,772.37 | $9,772.37 |
Prevea360 Setting Facility Modifier None Typical Low $407.38 Median $501.19 Typical High $9,332.54 | Facility | None | $407.38 | $501.19 | $9,332.54 |
Quartz Setting Professional Modifier None Typical Low $3,801.89 Median $7,244.36 Typical High $10,715.19 | Professional | None | $3,801.89 | $7,244.36 | $10,715.19 |
Quartz Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $5,128.61 | Professional | None | $2,951.21 | $2,951.21 | $5,128.61 |
Security Health Setting Professional Modifier None Typical Low $1,230.27 Median $3,235.94 Typical High $3,715.35 | Professional | None | $1,230.27 | $3,235.94 | $3,715.35 |
United Setting Facility Modifier None Typical Low $7,943.28 Median $12,302.69 Typical High $15,488.17 | Facility | None | $7,943.28 | $12,302.69 | $15,488.17 |
United Setting Professional Modifier None Typical Low $489.78 Median $1,479.11 Typical High $2,691.53 | Professional | None | $489.78 | $1,479.11 | $2,691.53 |
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 $1,513.56 Median $1,513.56 Typical High $18,197.01 | Professional | 52 · Reduced service | $1,513.56 | $1,513.56 | $18,197.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $602.56 Median $602.56 Typical High $7,244.36 | Professional | 53 · Discontinued | $602.56 | $602.56 | $7,244.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,238.72 Median $2,238.72 Typical High $26,915.35 | Professional | 54 · Surgery only | $2,238.72 | $2,238.72 | $26,915.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $457.09 Median $457.09 Typical High $5,370.32 | Professional | 55 · Aftercare only | $457.09 | $457.09 | $5,370.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $302.00 Median $302.00 Typical High $3,630.78 | Professional | 56 · Pre-op care only | $302.00 | $302.00 | $3,630.78 |
Where Wisconsin sits
The same service costs 14.1 times more in Alaska than in Missouri. 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· 19th of 51
$3,802
AK $8,511MO $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.