How much rates vary
Facilitymedian $7,762 · 10th to 90th $1,230 to $14,125Professionalmedian $891 · 10th to 90th $214 to $12,589
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 $213.80 Median $3,090.30 Typical High $14,454.40 | Facility | None | $213.80 | $3,090.30 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $3,090.30 Typical High $21,379.62 | Professional | None | $213.80 | $3,090.30 | $21,379.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $10,000.00 Typical High $16,982.44 | Facility | None | $6,309.57 | $10,000.00 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $645.65 Typical High $1,148.15 | Professional | None | $208.93 | $645.65 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $7,413.10 Typical High $11,220.18 | Facility | None | $954.99 | $7,413.10 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $3,162.28 Typical High $9,120.11 | Professional | None | $229.09 | $3,162.28 | $9,120.11 |
DeanCare Setting Facility Modifier None Typical Low $204.17 Median $5,011.87 Typical High $9,332.54 | Facility | None | $204.17 | $5,011.87 | $9,332.54 |
DeanCare Setting Professional Modifier None Typical Low $363.08 Median $512.86 Typical High $7,244.36 | Professional | None | $363.08 | $512.86 | $7,244.36 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $5,754.40 Typical High $15,135.61 | Facility | None | $954.99 | $5,754.40 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $2,511.89 Median $6,165.95 Typical High $17,782.79 | Professional | None | $2,511.89 | $6,165.95 | $17,782.79 |
Network Health Setting Facility Modifier None Typical Low $4,073.80 Median $9,549.93 Typical High $15,848.93 | Facility | None | $4,073.80 | $9,549.93 | $15,848.93 |
Network Health Setting Professional Modifier None Typical Low $223.87 Median $3,548.13 Typical High $6,025.60 | Professional | None | $223.87 | $3,548.13 | $6,025.60 |
Prevea360 Setting Facility Modifier None Typical Low $181.97 Median $338.84 Typical High $3,715.35 | Facility | None | $181.97 | $338.84 | $3,715.35 |
Quartz Setting Professional Modifier None Typical Low $194.98 Median $2,630.27 Typical High $8,317.64 | Professional | None | $194.98 | $2,630.27 | $8,317.64 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $7,079.46 Typical High $11,481.54 | Facility | None | $758.58 | $7,079.46 | $11,481.54 |
Quartz Setting Professional Modifier None Typical Low $229.09 Median $549.54 Typical High $4,786.30 | Professional | None | $229.09 | $549.54 | $4,786.30 |
Security Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $6,606.93 | Professional | None | $398.11 | $398.11 | $6,606.93 |
Security Health Setting Professional Modifier None Typical Low $707.95 Median $7,079.46 Typical High $15,848.93 | Professional | None | $707.95 | $7,079.46 | $15,848.93 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $7,585.78 Typical High $13,489.63 | Facility | None | $1,479.11 | $7,585.78 | $13,489.63 |
United Setting Professional Modifier None Typical Low $223.87 Median $2,290.87 Typical High $13,489.63 | Professional | None | $223.87 | $2,290.87 | $13,489.63 |
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 $107.15 Median $107.15 Typical High $1,548.82 | Facility | 52 · Reduced service | $107.15 | $107.15 | $1,548.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $616.60 | Facility | 53 · Discontinued | $42.66 | $42.66 | $616.60 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $162.18 Median $162.18 Typical High $2,290.87 | Facility | 54 · Surgery only | $162.18 | $162.18 | $2,290.87 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $467.74 | Facility | 55 · Aftercare only | $32.36 | $32.36 | $467.74 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $309.03 | Facility | 56 · Pre-op care only | $21.38 | $21.38 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $1,548.82 Typical High $11,220.18 | Professional | 52 · Reduced service | $107.15 | $1,548.82 | $11,220.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $616.60 Typical High $4,570.88 | Professional | 53 · Discontinued | $42.66 | $616.60 | $4,570.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $2,290.87 Typical High $16,982.44 | Professional | 54 · Surgery only | $162.18 | $2,290.87 | $16,982.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $467.74 Typical High $3,388.44 | Professional | 55 · Aftercare only | $32.36 | $467.74 | $3,388.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $309.03 Typical High $2,290.87 | Professional | 56 · Pre-op care only | $21.38 | $309.03 | $2,290.87 |
Where Wisconsin sits
The same service costs 33.1 times more in Alaska than in Kentucky. 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· 12th of 51
$2,951
AK $5,495KY $166
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.