How much rates vary
Facilitymedian $4,266 · 10th to 90th $447 to $9,120Professionalmedian $513 · 10th to 90th $182 to $1,148
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 $165.96 Median $275.42 Typical High $14,454.40 | Facility | None | $165.96 | $275.42 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $275.42 Typical High $1,659.59 | Professional | None | $165.96 | $275.42 | $1,659.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $6,760.83 Typical High $11,481.54 | Facility | None | $2,041.74 | $6,760.83 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $645.65 Typical High $1,202.26 | Professional | None | $208.93 | $645.65 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,122.02 Typical High $4,265.80 | Facility | None | $575.44 | $1,122.02 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $309.03 Typical High $776.25 | Professional | None | $173.78 | $309.03 | $776.25 |
DeanCare Setting Facility Modifier None Typical Low $190.55 Median $3,090.30 Typical High $5,370.32 | Facility | None | $190.55 | $3,090.30 | $5,370.32 |
DeanCare Setting Professional Modifier None Typical Low $275.42 Median $416.87 Typical High $660.69 | Professional | None | $275.42 | $416.87 | $660.69 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $2,818.38 Typical High $8,709.64 | Facility | None | $316.23 | $2,818.38 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $676.08 Typical High $1,819.70 | Professional | None | $239.88 | $676.08 | $1,819.70 |
Network Health Setting Facility Modifier None Typical Low $1,737.80 Median $5,754.40 Typical High $7,762.47 | Facility | None | $1,737.80 | $5,754.40 | $7,762.47 |
Network Health Setting Professional Modifier None Typical Low $302.00 Median $478.63 Typical High $707.95 | Professional | None | $302.00 | $478.63 | $707.95 |
Prevea360 Setting Facility Modifier None Typical Low $141.25 Median $234.42 Typical High $446.68 | Facility | None | $141.25 | $234.42 | $446.68 |
Quartz Setting Professional Modifier None Typical Low $239.88 Median $457.09 Typical High $812.83 | Professional | None | $239.88 | $457.09 | $812.83 |
Quartz Setting Facility Modifier None Typical Low $724.44 Median $2,818.38 Typical High $4,677.35 | Facility | None | $724.44 | $2,818.38 | $4,677.35 |
Quartz Setting Professional Modifier None Typical Low $173.78 Median $295.12 Typical High $426.58 | Professional | None | $173.78 | $295.12 | $426.58 |
Security Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $524.81 | Professional | None | $309.03 | $309.03 | $524.81 |
Security Health Setting Professional Modifier None Typical Low $354.81 Median $776.25 Typical High $1,318.26 | Professional | None | $354.81 | $776.25 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $4,786.30 Typical High $8,709.64 | Facility | None | $1,071.52 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $169.82 Median $446.68 Typical High $891.25 | Professional | None | $169.82 | $446.68 | $891.25 |
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 $81.28 Median $81.28 Typical High $138.04 | Facility | 52 · Reduced service | $81.28 | $81.28 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $54.95 | Facility | 53 · Discontinued | $33.11 | $33.11 | $54.95 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $123.03 Median $123.03 Typical High $208.93 | Facility | 54 · Surgery only | $123.03 | $123.03 | $208.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $41.69 | Facility | 55 · Aftercare only | $24.55 | $24.55 | $41.69 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $27.54 | Facility | 56 · Pre-op care only | $16.60 | $16.60 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $138.04 Typical High $831.76 | Professional | 52 · Reduced service | $81.28 | $138.04 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $54.95 Typical High $331.13 | Professional | 53 · Discontinued | $33.11 | $54.95 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $208.93 Typical High $1,230.27 | Professional | 54 · Surgery only | $123.03 | $208.93 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $41.69 Typical High $245.47 | Professional | 55 · Aftercare only | $24.55 | $41.69 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $27.54 Typical High $165.96 | Professional | 56 · Pre-op care only | $16.60 | $27.54 | $165.96 |
Where Wisconsin sits
The same service costs 3.7 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
$661
AK $708KY $191
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.