How much rates vary
Facilitymedian $10,233 · 10th to 90th $468 to $27,542Professionalmedian $8,710 · 10th to 90th $537 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 $8,511.38 Median $8,511.38 Typical High $18,620.87 | Facility | None | $8,511.38 | $8,511.38 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $12,589.25 | Professional | None | $8,511.38 | $8,511.38 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $8,709.64 Typical High $8,709.64 | Professional | None | $302.00 | $8,709.64 | $8,709.64 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,819.70 Typical High $27,542.29 | Facility | None | $851.14 | $1,819.70 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $8,912.51 Typical High $8,912.51 | Professional | None | $562.34 | $8,912.51 | $8,912.51 |
DeanCare Setting Facility Modifier None Typical Low $295.12 Median $467.74 Typical High $10,232.93 | Facility | None | $295.12 | $467.74 | $10,232.93 |
DeanCare Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $467.74 Typical High $10,232.93 | Facility | None | $295.12 | $467.74 | $10,232.93 |
Medica Setting Professional Modifier None Typical Low $8,511.38 Median $10,000.00 Typical High $37,153.52 | Professional | None | $8,511.38 | $10,000.00 | $37,153.52 |
Network Health Setting Facility Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $10,471.29 | Facility | None | $10,471.29 | $10,471.29 | $10,471.29 |
Network Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $602.56 | Professional | None | $363.08 | $363.08 | $602.56 |
Prevea360 Setting Facility Modifier None Typical Low $295.12 Median $467.74 Typical High $10,232.93 | Facility | None | $295.12 | $467.74 | $10,232.93 |
Prevea360 Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Quartz Setting Professional Modifier None Typical Low $331.13 Median $630.96 Typical High $812.83 | Professional | None | $331.13 | $630.96 | $812.83 |
Quartz Setting Facility Modifier None Typical Low $14,791.08 Median $27,542.29 Typical High $27,542.29 | Facility | None | $14,791.08 | $27,542.29 | $27,542.29 |
Quartz Setting Professional Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Professional | None | $8,912.51 | $8,912.51 | $8,912.51 |
Security Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,000.00 | Professional | None | $537.03 | $537.03 | $1,000.00 |
United Setting Professional Modifier None Typical Low $8,709.64 Median $9,772.37 Typical High $11,220.18 | Professional | None | $8,709.64 | $9,772.37 | $11,220.18 |
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 $4,265.80 Median $4,265.80 Typical High $6,309.57 | Professional | 52 · Reduced service | $4,265.80 | $4,265.80 | $6,309.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,698.24 Median $1,698.24 Typical High $2,511.89 | Professional | 53 · Discontinued | $1,698.24 | $1,698.24 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,258.93 Median $1,258.93 Typical High $1,862.09 | Professional | 55 · Aftercare only | $1,258.93 | $1,258.93 | $1,862.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $851.14 Median $851.14 Typical High $1,258.93 | Professional | 56 · Pre-op care only | $851.14 | $851.14 | $1,258.93 |
Where Wisconsin sits
The same service costs 26.3 times more in Alaska than in Montana. 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· 40th of 51
$8,710
AK $12,303MT $468
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.