How much rates vary
Facilitymedian $794 · 10th to 90th $501 to $1,585Professionalmedian $589 · 10th to 90th $513 to $1,000
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 $537.03 Median $537.03 Typical High $1,174.90 | Facility | None | $537.03 | $537.03 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,288.25 | Professional | None | $537.03 | $537.03 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,096.48 | Facility | None | $645.65 | $645.65 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $562.34 Typical High $776.25 | Professional | None | $512.86 | $562.34 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,230.27 Typical High $1,584.89 | Facility | None | $758.58 | $1,230.27 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $660.69 Typical High $933.25 | Professional | None | $512.86 | $660.69 | $933.25 |
DeanCare Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $1,096.48 | Facility | None | $446.68 | $501.19 | $1,096.48 |
DeanCare Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $1,000.00 | Professional | None | $741.31 | $1,000.00 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $1,096.48 | Facility | None | $446.68 | $501.19 | $1,096.48 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $741.31 | Professional | None | $501.19 | $501.19 | $741.31 |
Network Health Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Prevea360 Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $1,096.48 | Facility | None | $446.68 | $501.19 | $1,096.48 |
Prevea360 Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $1,000.00 | Professional | None | $741.31 | $1,000.00 | $1,000.00 |
Quartz Setting Professional Modifier None Typical Low $512.86 Median $812.83 Typical High $1,288.25 | Professional | None | $512.86 | $812.83 | $1,288.25 |
Quartz Setting Facility Modifier None Typical Low $691.83 Median $1,584.89 Typical High $1,584.89 | Facility | None | $691.83 | $1,584.89 | $1,584.89 |
Quartz Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Security Health Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $851.14 | Professional | None | $524.81 | $691.83 | $851.14 |
United Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
United Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $691.83 | Professional | None | $512.86 | $512.86 | $691.83 |
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 $263.03 Median $263.03 Typical High $645.65 | Professional | 52 · Reduced service | $263.03 | $263.03 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $263.03 | Professional | 53 · Discontinued | $107.15 | $107.15 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $977.24 | Professional | 54 · Surgery only | $398.11 | $398.11 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $194.98 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $128.82 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $128.82 |
Where Wisconsin sits
The same service costs 1.6 times more in Arizona than in Wyoming. 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
$589
AZ $813WY $513
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.