How much rates vary
Facilitymedian $2,344 · 10th to 90th $316 to $5,623Professionalmedian $269 · 10th to 90th $110 to $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 $54.95 Median $123.03 Typical High $14,454.40 | Facility | None | $54.95 | $123.03 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $123.03 Typical High $1,047.13 | Professional | None | $54.95 | $123.03 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $3,467.37 Typical High $6,165.95 | Facility | None | $1,202.26 | $3,467.37 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $288.40 Typical High $645.65 | Professional | None | $131.83 | $288.40 | $645.65 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $194.98 Median $426.58 Typical High $954.99 | Professional | 50 · Both sides | $194.98 | $426.58 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $831.76 Typical High $1,862.09 | Facility | None | $380.19 | $831.76 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $204.17 Typical High $436.52 | Professional | None | $123.03 | $204.17 | $436.52 |
DeanCare Setting Facility Modifier None Typical Low $75.86 Median $2,570.40 Typical High $4,786.30 | Facility | None | $75.86 | $2,570.40 | $4,786.30 |
DeanCare Setting Professional Modifier None Typical Low $138.04 Median $229.09 Typical High $489.78 | Professional | None | $138.04 | $229.09 | $489.78 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $2,187.76 Typical High $4,786.30 | Facility | None | $223.87 | $2,187.76 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $416.87 Typical High $676.08 | Professional | None | $151.36 | $416.87 | $676.08 |
Network Health Setting Facility Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,445.44 | $2,818.38 | $4,786.30 |
Network Health Setting Professional Modifier None Typical Low $151.36 Median $295.12 Typical High $416.87 | Professional | None | $151.36 | $295.12 | $416.87 |
Prevea360 Setting Facility Modifier None Typical Low $58.88 Median $128.82 Typical High $295.12 | Facility | None | $58.88 | $128.82 | $295.12 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $281.84 Typical High $537.03 | Professional | None | $131.83 | $281.84 | $537.03 |
Quartz Setting Facility Modifier None Typical Low $630.96 Median $1,348.96 Typical High $2,041.74 | Facility | None | $630.96 | $1,348.96 | $2,041.74 |
Quartz Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $295.12 | Professional | None | $123.03 | $181.97 | $295.12 |
Security Health Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $288.40 | Professional | None | $123.03 | $123.03 | $288.40 |
Security Health Setting Professional Modifier None Typical Low $147.91 Median $316.23 Typical High $758.58 | Professional | None | $147.91 | $316.23 | $758.58 |
The Alliance Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,023.29 | Professional | None | $588.84 | $891.25 | $1,023.29 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $4,677.35 | Facility | None | $707.95 | $2,818.38 | $4,677.35 |
United Setting Professional Modifier None Typical Low $87.10 Median $234.42 Typical High $575.44 | Professional | None | $87.10 | $234.42 | $575.44 |
10 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 Facility Modifier 52 · Reduced service Typical Low $27.54 Median $27.54 Typical High $61.66 | Facility | 52 · Reduced service | $27.54 | $27.54 | $61.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $24.55 | Facility | 53 · Discontinued | $10.96 | $10.96 | $24.55 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $41.69 Median $41.69 Typical High $91.20 | Facility | 54 · Surgery only | $41.69 | $41.69 | $91.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $18.20 | Facility | 55 · Aftercare only | $8.32 | $8.32 | $18.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $12.30 | Facility | 56 · Pre-op care only | $5.50 | $5.50 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $61.66 Typical High $575.44 | Professional | 52 · Reduced service | $27.54 | $61.66 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $24.55 Typical High $229.09 | Professional | 53 · Discontinued | $10.96 | $24.55 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $91.20 Typical High $870.96 | Professional | 54 · Surgery only | $41.69 | $91.20 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $18.20 Typical High $173.78 | Professional | 55 · Aftercare only | $8.32 | $18.20 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $12.30 Typical High $114.82 | Professional | 56 · Pre-op care only | $5.50 | $12.30 | $114.82 |
Where Wisconsin sits
The same service costs 4.9 times more in Alaska 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· 2nd of 51
$331
AK $437HI $89.13
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.