How much rates vary
Facilitymedian $1,202 · 10th to 90th $72 to $3,802Professionalmedian $138 · 10th to 90th $58 to $372
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 $39.81 Median $64.57 Typical High $14,454.40 | Facility | None | $39.81 | $64.57 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $64.57 Typical High $380.19 | Professional | None | $39.81 | $64.57 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $181.97 Typical High $398.11 | Professional | None | $60.26 | $181.97 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $173.78 Typical High $707.95 | Facility | None | $70.79 | $173.78 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $117.49 Typical High $269.15 | Professional | None | $70.79 | $117.49 | $269.15 |
DeanCare Setting Facility Modifier None Typical Low $46.77 Median $2,630.27 Typical High $5,128.61 | Facility | None | $46.77 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $162.18 | Professional | None | $70.79 | $102.33 | $162.18 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $912.01 Typical High $1,778.28 | Facility | None | $75.86 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $245.47 Typical High $588.84 | Professional | None | $67.61 | $245.47 | $588.84 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $2,344.23 | Facility | None | $831.76 | $933.25 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $173.78 | Professional | None | $81.28 | $128.82 | $173.78 |
Prevea360 Setting Facility Modifier None Typical Low $39.81 Median $63.10 Typical High $117.49 | Facility | None | $39.81 | $63.10 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $75.86 Median $154.88 Typical High $245.47 | Professional | None | $75.86 | $154.88 | $245.47 |
Quartz Setting Facility Modifier None Typical Low $69.18 Median $107.15 Typical High $1,071.52 | Facility | None | $69.18 | $107.15 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $72.44 Median $112.20 Typical High $138.04 | Professional | None | $72.44 | $112.20 | $138.04 |
Security Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $208.93 | Professional | None | $131.83 | $131.83 | $208.93 |
Security Health Setting Professional Modifier None Typical Low $134.90 Median $257.04 Typical High $416.87 | Professional | None | $134.90 | $257.04 | $416.87 |
The Alliance Setting Professional Modifier None Typical Low $87.10 Median $173.78 Typical High $346.74 | Professional | None | $87.10 | $173.78 | $346.74 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,148.15 Typical High $1,862.09 | Facility | None | $218.78 | $1,148.15 | $1,862.09 |
United Setting Professional Modifier None Typical Low $50.12 Median $95.50 Typical High $269.15 | Professional | None | $50.12 | $95.50 | $269.15 |
11 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 $19.95 Median $19.95 Typical High $32.36 | Facility | 52 · Reduced service | $19.95 | $19.95 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $12.88 | Facility | 53 · Discontinued | $7.94 | $7.94 | $12.88 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $30.20 Median $30.20 Typical High $47.86 | Facility | 54 · Surgery only | $30.20 | $30.20 | $47.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.03 Median $6.03 Typical High $9.55 | Facility | 55 · Aftercare only | $6.03 | $6.03 | $9.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.98 Median $3.98 Typical High $6.46 | Facility | 56 · Pre-op care only | $3.98 | $3.98 | $6.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $32.36 Typical High $269.15 | Professional | 52 · Reduced service | $19.95 | $32.36 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $12.88 Typical High $107.15 | Professional | 53 · Discontinued | $7.94 | $12.88 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.20 Median $47.86 Typical High $407.38 | Professional | 54 · Surgery only | $30.20 | $47.86 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $9.55 Typical High $81.28 | Professional | 55 · Aftercare only | $6.03 | $9.55 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $6.46 Typical High $53.70 | Professional | 56 · Pre-op care only | $3.98 | $6.46 | $53.70 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $35.48 Median $50.12 Typical High $81.28 | Professional | 51 · Multiple procedures | $35.48 | $50.12 | $81.28 |
Where Wisconsin sits
The same service costs 3.5 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
$148
AK $178FL $51.29
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.