How much rates vary
Facilitymedian $2,630 · 10th to 90th $457 to $5,623Professionalmedian $676 · 10th to 90th $229 to $1,660
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 $204.17 Median $398.11 Typical High $14,454.40 | Facility | None | $204.17 | $398.11 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $398.11 Typical High $3,801.89 | Professional | None | $204.17 | $398.11 | $3,801.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $6,165.95 | Facility | None | $1,949.84 | $3,548.13 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $851.14 Typical High $1,698.24 | Professional | None | $302.00 | $851.14 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $446.68 Median $1,288.25 Typical High $2,570.40 | Professional | 50 · Both sides | $446.68 | $1,288.25 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,230.27 Typical High $2,137.96 | Facility | None | $707.95 | $1,230.27 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $416.87 Typical High $1,122.02 | Professional | None | $218.78 | $416.87 | $1,122.02 |
DeanCare Setting Facility Modifier None Typical Low $234.42 Median $2,570.40 Typical High $4,786.30 | Facility | None | $234.42 | $2,570.40 | $4,786.30 |
DeanCare Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $954.99 | Professional | None | $338.84 | $524.81 | $954.99 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $2,187.76 Typical High $4,786.30 | Facility | None | $416.87 | $2,187.76 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $977.24 Typical High $1,995.26 | Professional | None | $338.84 | $977.24 | $1,995.26 |
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 $371.54 Median $691.83 Typical High $1,023.29 | Professional | None | $371.54 | $691.83 | $1,023.29 |
Prevea360 Setting Facility Modifier None Typical Low $173.78 Median $323.59 Typical High $575.44 | Facility | None | $173.78 | $323.59 | $575.44 |
Quartz Setting Professional Modifier None Typical Low $302.00 Median $645.65 Typical High $1,202.26 | Professional | None | $302.00 | $645.65 | $1,202.26 |
Quartz Setting Facility Modifier None Typical Low $630.96 Median $1,548.82 Typical High $2,344.23 | Facility | None | $630.96 | $1,548.82 | $2,344.23 |
Quartz Setting Professional Modifier None Typical Low $218.78 Median $416.87 Typical High $549.54 | Professional | None | $218.78 | $416.87 | $549.54 |
Security Health Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $776.25 | Professional | None | $380.19 | $380.19 | $776.25 |
Security Health Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $1,905.46 | Professional | None | $645.65 | $954.99 | $1,905.46 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $4,786.30 | Facility | None | $707.95 | $2,818.38 | $4,786.30 |
United Setting Professional Modifier None Typical Low $208.93 Median $575.44 Typical High $1,288.25 | Professional | None | $208.93 | $575.44 | $1,288.25 |
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 $102.33 Median $102.33 Typical High $199.53 | Facility | 52 · Reduced service | $102.33 | $102.33 | $199.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $79.43 | Facility | 53 · Discontinued | $40.74 | $40.74 | $79.43 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $151.36 Median $151.36 Typical High $295.12 | Facility | 54 · Surgery only | $151.36 | $151.36 | $295.12 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $58.88 | Facility | 55 · Aftercare only | $30.20 | $30.20 | $58.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $39.81 | Facility | 56 · Pre-op care only | $20.42 | $20.42 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $199.53 Typical High $1,905.46 | Professional | 52 · Reduced service | $102.33 | $199.53 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $79.43 Typical High $758.58 | Professional | 53 · Discontinued | $40.74 | $79.43 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $295.12 Typical High $2,884.03 | Professional | 54 · Surgery only | $151.36 | $295.12 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $58.88 Typical High $575.44 | Professional | 55 · Aftercare only | $30.20 | $58.88 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $39.81 Typical High $380.19 | Professional | 56 · Pre-op care only | $20.42 | $39.81 | $380.19 |
Where Wisconsin sits
The same service costs 3.9 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· 2nd of 51
$851
AK $933KY $240
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.