How much rates vary
Facilitymedian $1,514 · 10th to 90th $200 to $4,898Professionalmedian $1,698 · 10th to 90th $126 to $5,370
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,570.40 | Professional | None | $1,513.56 | $1,513.56 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $2,630.27 Typical High $6,606.93 | Professional | None | $1,584.89 | $2,630.27 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $4,365.16 Typical High $5,754.40 | Facility | None | $199.53 | $4,365.16 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $2,238.72 | Professional | None | $125.89 | $125.89 | $2,238.72 |
DeanCare Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $3,235.94 | Facility | None | $1,445.44 | $1,445.44 | $3,235.94 |
DeanCare Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $3,801.89 | Facility | None | $1,737.80 | $1,737.80 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $6,918.31 | Professional | None | $1,737.80 | $1,737.80 | $6,918.31 |
Network Health Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Network Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,621.81 Typical High $2,630.27 | Professional | None | $1,096.48 | $1,621.81 | $2,630.27 |
Prevea360 Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $3,235.94 | Facility | None | $1,445.44 | $1,445.44 | $3,235.94 |
Quartz Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $524.81 | Professional | None | $141.25 | $194.98 | $524.81 |
Quartz Setting Facility Modifier None Typical Low $169.82 Median $389.05 Typical High $389.05 | Facility | None | $169.82 | $389.05 | $389.05 |
Quartz Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Security Health Setting Professional Modifier None Typical Low $1,949.84 Median $1,995.26 Typical High $2,398.83 | Professional | None | $1,949.84 | $1,995.26 | $2,398.83 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $173.78 | Professional | None | $125.89 | $125.89 | $173.78 |
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 $758.58 Median $758.58 Typical High $1,288.25 | Professional | 52 · Reduced service | $758.58 | $758.58 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $512.86 | Professional | 53 · Discontinued | $302.00 | $302.00 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $389.05 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $257.04 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $257.04 |
Where Wisconsin sits
The same service costs 21.9 times more in Wyoming than in North Carolina. 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· 6th of 51
$1,660
WY $2,570NC $117
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.