How much rates vary
Facilitymedian $741 · 10th to 90th $200 to $2,692Professionalmedian $955 · 10th to 90th $126 to $5,623
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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $2,137.96 | Professional | None | $741.31 | $741.31 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $3,467.37 Typical High $9,120.11 | Professional | None | $1,621.81 | $3,467.37 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $2,398.83 Typical High $3,162.28 | Facility | None | $199.53 | $2,398.83 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $1,698.24 | Professional | None | $125.89 | $125.89 | $1,698.24 |
DeanCare Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $1,584.89 | Facility | None | $707.95 | $707.95 | $1,584.89 |
DeanCare Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $2,089.30 | Facility | None | $933.25 | $933.25 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $5,623.41 | Professional | None | $933.25 | $933.25 | $5,623.41 |
Network Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Network Health Setting Professional Modifier None Typical Low $891.25 Median $1,348.96 Typical High $2,187.76 | Professional | None | $891.25 | $1,348.96 | $2,187.76 |
Prevea360 Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $1,584.89 | Facility | None | $707.95 | $707.95 | $1,584.89 |
Quartz Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $380.19 | Professional | None | $141.25 | $194.98 | $380.19 |
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 $954.99 Median $977.24 Typical High $1,174.90 | Professional | None | $954.99 | $977.24 | $1,174.90 |
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 $371.54 Median $371.54 Typical High $1,071.52 | Professional | 52 · Reduced service | $371.54 | $371.54 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $426.58 | Professional | 53 · Discontinued | $151.36 | $151.36 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $323.59 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $213.80 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $213.80 |
Where Wisconsin sits
The same service costs 13.2 times more in Hawaii 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
$933
HI $1,549NC $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.