How much rates vary
Facilitymedian $12,023 · 10th to 90th $1,072 to $21,380Professionalmedian $2,630 · 10th to 90th $955 to $5,495
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 $977.24 Median $977.24 Typical High $14,454.40 | Facility | None | $977.24 | $977.24 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $8,709.64 | Professional | None | $933.25 | $977.24 | $8,709.64 |
Anthem BCBS Setting Facility Modifier None Typical Low $12,022.64 Median $17,782.79 Typical High $26,302.68 | Facility | None | $12,022.64 | $17,782.79 | $26,302.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $2,951.21 Typical High $6,165.95 | Professional | None | $831.76 | $2,951.21 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,862.09 Typical High $3,162.28 | Facility | None | $758.58 | $1,862.09 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $2,290.87 Typical High $4,073.80 | Professional | None | $1,258.93 | $2,290.87 | $4,073.80 |
DeanCare Setting Facility Modifier None Typical Low $851.14 Median $7,943.28 Typical High $14,791.08 | Facility | None | $851.14 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $2,630.27 | Professional | None | $1,548.82 | $1,905.46 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $5,754.40 Typical High $12,882.50 | Facility | None | $954.99 | $5,754.40 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $2,691.53 Typical High $4,365.16 | Professional | None | $1,000.00 | $2,691.53 | $4,365.16 |
Network Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $2,089.30 | Facility | None | $1,096.48 | $1,096.48 | $2,089.30 |
Network Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $3,388.44 | Professional | None | $1,071.52 | $1,819.70 | $3,388.44 |
Prevea360 Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $1,659.59 | Facility | None | $660.69 | $851.14 | $1,659.59 |
Quartz Setting Professional Modifier None Typical Low $691.83 Median $1,584.89 Typical High $3,388.44 | Professional | None | $691.83 | $1,584.89 | $3,388.44 |
Quartz Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $3,630.78 | Facility | None | $645.65 | $1,071.52 | $3,630.78 |
Quartz Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,548.82 | Professional | None | $1,258.93 | $1,258.93 | $1,548.82 |
Security Health Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Security Health Setting Professional Modifier None Typical Low $3,548.13 Median $5,011.87 Typical High $5,888.44 | Professional | None | $3,548.13 | $5,011.87 | $5,888.44 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $7,413.10 Typical High $13,489.63 | Facility | None | $1,479.11 | $7,413.10 | $13,489.63 |
United Setting Professional Modifier None Typical Low $891.25 Median $2,691.53 Typical High $4,265.80 | Professional | None | $891.25 | $2,691.53 | $4,265.80 |
5 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 Professional Modifier 52 · Reduced service Typical Low $489.78 Median $489.78 Typical High $4,570.88 | Professional | 52 · Reduced service | $489.78 | $489.78 | $4,570.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $1,819.70 | Professional | 53 · Discontinued | $194.98 | $194.98 | $1,819.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $6,760.83 | Professional | 54 · Surgery only | $724.44 | $724.44 | $6,760.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $1,348.96 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $1,348.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $912.01 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $912.01 |
Where Wisconsin sits
The same service costs 8.4 times more in Alabama 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.
Physician feeFacility fee
AL $15,863KY $1,884
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.