How much rates vary
Facilitymedian $1,259 · 10th to 90th $93 to $3,090Professionalmedian $224 · 10th to 90th $71 to $813
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 $63.10 Median $151.36 Typical High $14,454.40 | Facility | None | $63.10 | $151.36 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $151.36 Typical High $812.83 | Professional | None | $63.10 | $151.36 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,174.90 | $1,202.26 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $281.84 Typical High $812.83 | Professional | None | $91.20 | $281.84 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $346.74 Typical High $512.86 | Facility | None | $302.00 | $346.74 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $165.96 Typical High $416.87 | Professional | None | $81.28 | $165.96 | $416.87 |
DeanCare Setting Facility Modifier None Typical Low $74.13 Median $2,754.23 Typical High $5,128.61 | Facility | None | $74.13 | $2,754.23 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $85.11 Median $165.96 Typical High $309.03 | Professional | None | $85.11 | $165.96 | $309.03 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $1,318.26 Typical High $1,778.28 | Facility | None | $93.33 | $1,318.26 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $436.52 Typical High $1,047.13 | Professional | None | $186.21 | $436.52 | $1,047.13 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $2,344.23 | Facility | None | $831.76 | $1,819.70 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $426.58 | Professional | None | $117.49 | $181.97 | $426.58 |
Prevea360 Setting Facility Modifier None Typical Low $51.29 Median $100.00 Typical High $234.42 | Facility | None | $51.29 | $100.00 | $234.42 |
Quartz Setting Professional Modifier None Typical Low $66.07 Median $177.83 Typical High $501.19 | Professional | None | $66.07 | $177.83 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $81.28 Median $165.96 Typical High $234.42 | Professional | None | $81.28 | $165.96 | $234.42 |
Security Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $630.96 | Professional | None | $245.47 | $245.47 | $630.96 |
Security Health Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $912.01 | Professional | None | $251.19 | $380.19 | $912.01 |
The Alliance Setting Professional Modifier None Typical Low $123.03 Median $194.98 Typical High $354.81 | Professional | None | $123.03 | $194.98 | $354.81 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $1,949.84 | Facility | None | $1,023.29 | $1,698.24 | $1,949.84 |
United Setting Professional Modifier None Typical Low $70.79 Median $208.93 Typical High $602.56 | Professional | None | $70.79 | $208.93 | $602.56 |
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 $30.90 Median $30.90 Typical High $75.86 | Facility | 52 · Reduced service | $30.90 | $30.90 | $75.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $30.20 | Facility | 53 · Discontinued | $12.59 | $12.59 | $30.20 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $46.77 Median $46.77 Typical High $114.82 | Facility | 54 · Surgery only | $46.77 | $46.77 | $114.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $22.91 | Facility | 55 · Aftercare only | $9.33 | $9.33 | $22.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $15.14 | Facility | 56 · Pre-op care only | $6.31 | $6.31 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $75.86 Typical High $478.63 | Professional | 52 · Reduced service | $30.90 | $75.86 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $30.20 Typical High $190.55 | Professional | 53 · Discontinued | $12.59 | $30.20 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $114.82 Typical High $724.44 | Professional | 54 · Surgery only | $46.77 | $114.82 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $22.91 Typical High $144.54 | Professional | 55 · Aftercare only | $9.33 | $22.91 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $15.14 Typical High $95.50 | Professional | 56 · Pre-op care only | $6.31 | $15.14 | $95.50 |
Where Wisconsin sits
The same service costs 2.8 times more in Wisconsin 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· 1st of 51
$234
WI $234FL $85.11
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.