How much rates vary
Facilitymedian $2,884 · 10th to 90th $1,820 to $5,623Professionalmedian $2,042 · 10th to 90th $1,820 to $3,631
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 $1,905.46 Median $1,905.46 Typical High $4,168.69 | Facility | None | $1,905.46 | $1,905.46 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $5,248.07 | Professional | None | $1,905.46 | $1,905.46 | $5,248.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $3,890.45 | Facility | None | $2,344.23 | $2,344.23 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $2,344.23 | Professional | None | $1,862.09 | $2,041.74 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $4,466.84 Typical High $5,623.41 | Facility | None | $2,691.53 | $4,466.84 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,238.72 Typical High $3,311.31 | Professional | None | $1,862.09 | $2,238.72 | $3,311.31 |
DeanCare Setting Facility Modifier None Typical Low $954.99 Median $1,819.70 Typical High $1,819.70 | Facility | None | $954.99 | $1,819.70 | $1,819.70 |
DeanCare Setting Professional Modifier None Typical Low $616.60 Median $3,630.78 Typical High $3,630.78 | Professional | None | $616.60 | $3,630.78 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $1,819.70 Typical High $1,819.70 | Facility | None | $954.99 | $1,819.70 | $1,819.70 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $2,691.53 | Professional | None | $1,819.70 | $2,041.74 | $2,691.53 |
Network Health Setting Facility Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,862.09 | $1,905.46 | $1,905.46 |
Prevea360 Setting Facility Modifier None Typical Low $954.99 Median $1,819.70 Typical High $1,819.70 | Facility | None | $954.99 | $1,819.70 | $1,819.70 |
Prevea360 Setting Professional Modifier None Typical Low $616.60 Median $3,630.78 Typical High $3,630.78 | Professional | None | $616.60 | $3,630.78 | $3,630.78 |
Quartz Setting Professional Modifier None Typical Low $1,862.09 Median $2,884.03 Typical High $4,570.88 | Professional | None | $1,862.09 | $2,884.03 | $4,570.88 |
Quartz Setting Facility Modifier None Typical Low $2,454.71 Median $5,623.41 Typical High $5,623.41 | Facility | None | $2,454.71 | $5,623.41 | $5,623.41 |
Quartz Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Security Health Setting Professional Modifier None Typical Low $1,202.26 Median $2,511.89 Typical High $3,090.30 | Professional | None | $1,202.26 | $2,511.89 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $2,398.83 | Professional | None | $1,819.70 | $2,041.74 | $2,398.83 |
4 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 $954.99 Median $954.99 Typical High $2,570.40 | Professional | 52 · Reduced service | $954.99 | $954.99 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $1,047.13 | Professional | 53 · Discontinued | $380.19 | $380.19 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $776.25 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $524.81 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $524.81 |
Where Wisconsin sits
The same service costs 3.2 times more in Alabama than in Hawaii. 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· 13th of 51
$2,042
AL $5,623HI $1,738
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.