How much rates vary
Facilitymedian $9,120 · 10th to 90th $2,188 to $12,882Professionalmedian $3,090 · 10th to 90th $1,380 to $10,471
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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $20,417.38 | Professional | None | $2,511.89 | $2,511.89 | $20,417.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,549.93 Median $9,772.37 Typical High $12,882.50 | Facility | None | $9,549.93 | $9,772.37 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $5,754.40 Typical High $10,471.29 | Professional | None | $1,949.84 | $5,754.40 | $10,471.29 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $2,187.76 Typical High $3,311.31 | Facility | None | $1,949.84 | $2,187.76 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $4,677.35 | Professional | None | $1,000.00 | $2,570.40 | $4,677.35 |
DeanCare Setting Facility Modifier None Typical Low $660.69 Median $831.76 Typical High $6,309.57 | Facility | None | $660.69 | $831.76 | $6,309.57 |
DeanCare Setting Professional Modifier None Typical Low $758.58 Median $27,542.29 Typical High $29,512.09 | Professional | None | $758.58 | $27,542.29 | $29,512.09 |
Medica Setting Facility Modifier None Typical Low $3,235.94 Median $8,709.64 Typical High $12,302.69 | Facility | None | $3,235.94 | $8,709.64 | $12,302.69 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $2,089.30 Typical High $16,982.44 | Professional | None | $776.25 | $2,089.30 | $16,982.44 |
Network Health Setting Facility Modifier None Typical Low $7,762.47 Median $8,317.64 Typical High $9,120.11 | Facility | None | $7,762.47 | $8,317.64 | $9,120.11 |
Network Health Setting Professional Modifier None Typical Low $7,585.78 Median $7,762.47 Typical High $7,762.47 | Professional | None | $7,585.78 | $7,762.47 | $7,762.47 |
Prevea360 Setting Facility Modifier None Typical Low $660.69 Median $831.76 Typical High $6,309.57 | Facility | None | $660.69 | $831.76 | $6,309.57 |
Quartz Setting Professional Modifier None Typical Low $2,951.21 Median $5,623.41 Typical High $8,511.38 | Professional | None | $2,951.21 | $5,623.41 | $8,511.38 |
Quartz Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,981.07 | Professional | None | $2,290.87 | $2,290.87 | $3,981.07 |
Security Health Setting Professional Modifier None Typical Low $1,995.26 Median $5,370.32 Typical High $6,025.60 | Professional | None | $1,995.26 | $5,370.32 | $6,025.60 |
United Setting Facility Modifier None Typical Low $6,309.57 Median $10,232.93 Typical High $12,022.64 | Facility | None | $6,309.57 | $10,232.93 | $12,022.64 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,995.26 Typical High $3,630.78 | Professional | None | $794.33 | $1,995.26 | $3,630.78 |
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 $1,258.93 Median $1,258.93 Typical High $10,232.93 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $10,232.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $4,073.80 | Professional | 53 · Discontinued | $501.19 | $501.19 | $4,073.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $1,862.09 Typical High $15,488.17 | Professional | 54 · Surgery only | $1,862.09 | $1,862.09 | $15,488.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $3,090.30 | Professional | 55 · Aftercare only | $371.54 | $371.54 | $3,090.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $251.19 Typical High $2,041.74 | Professional | 56 · Pre-op care only | $251.19 | $251.19 | $2,041.74 |
Where Wisconsin sits
The same service costs 9.3 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· 10th of 51
$3,631
AK $6,457IN $692
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.