How much rates vary
Facilitymedian $2,344 · 10th to 90th $135 to $5,623Professionalmedian $282 · 10th to 90th $117 to $741
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 $89.13 Median $123.03 Typical High $14,454.40 | Facility | None | $89.13 | $123.03 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $123.03 Typical High $1,071.52 | Professional | None | $89.13 | $123.03 | $1,071.52 |
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 $117.49 Median $371.54 Typical High $794.33 | Professional | None | $117.49 | $371.54 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $204.17 Typical High $398.11 | Facility | None | $50.12 | $204.17 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $512.86 | Professional | None | $162.18 | $223.87 | $512.86 |
DeanCare Setting Facility Modifier None Typical Low $107.15 Median $2,630.27 Typical High $5,128.61 | Facility | None | $107.15 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $316.23 | Professional | None | $158.49 | $223.87 | $316.23 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $2,041.74 Typical High $4,365.16 | Facility | None | $186.21 | $2,041.74 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $467.74 Typical High $1,445.44 | Professional | None | $123.03 | $467.74 | $1,445.44 |
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 $154.88 Median $251.19 Typical High $338.84 | Professional | None | $154.88 | $251.19 | $338.84 |
Prevea360 Setting Facility Modifier None Typical Low $87.10 Median $138.04 Typical High $239.88 | Facility | None | $87.10 | $138.04 | $239.88 |
Quartz Setting Professional Modifier None Typical Low $151.36 Median $295.12 Typical High $426.58 | Professional | None | $151.36 | $295.12 | $426.58 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $151.36 Typical High $223.87 | Facility | None | $50.12 | $151.36 | $223.87 |
Quartz Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $269.15 | Professional | None | $162.18 | $223.87 | $269.15 |
Security Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $398.11 | Professional | None | $288.40 | $288.40 | $398.11 |
Security Health Setting Professional Modifier None Typical Low $275.42 Median $537.03 Typical High $794.33 | Professional | None | $275.42 | $537.03 | $794.33 |
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 $107.15 Median $199.53 Typical High $537.03 | Professional | None | $107.15 | $199.53 | $537.03 |
16 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 $44.67 Median $44.67 Typical High $61.66 | Facility | 52 · Reduced service | $44.67 | $44.67 | $61.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $24.55 | Facility | 53 · Discontinued | $17.78 | $17.78 | $24.55 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $67.61 Median $67.61 Typical High $93.33 | Facility | 54 · Surgery only | $67.61 | $67.61 | $93.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $18.62 | Facility | 55 · Aftercare only | $13.49 | $13.49 | $18.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $12.30 | Facility | 56 · Pre-op care only | $8.91 | $8.91 | $12.30 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $63.10 Median $63.10 Typical High $87.10 | Facility | 78 · Unplanned return to OR | $63.10 | $63.10 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $61.66 Typical High $537.03 | Professional | 52 · Reduced service | $44.67 | $61.66 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $24.55 Typical High $213.80 | Professional | 53 · Discontinued | $17.78 | $24.55 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $93.33 Typical High $812.83 | Professional | 54 · Surgery only | $67.61 | $93.33 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $18.62 Typical High $162.18 | Professional | 55 · Aftercare only | $13.49 | $18.62 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $12.30 Typical High $107.15 | Professional | 56 · Pre-op care only | $8.91 | $12.30 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $63.10 Median $87.10 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $63.10 | $87.10 | $758.58 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $79.43 Median $109.65 Typical High $158.49 | Professional | 51 · Multiple procedures | $79.43 | $109.65 | $158.49 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $177.83 Typical High $251.19 | Professional | 54 · Surgery only | $128.82 | $177.83 | $251.19 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $44.67 Typical High $63.10 | Professional | 55 · Aftercare only | $31.62 | $44.67 | $63.10 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $186.21 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $134.90 | $186.21 | $263.03 |
Where Wisconsin sits
The same service costs 4.0 times more in Alaska than in Florida. 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
$316
AK $363FL $91.20
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.