How much rates vary
Facilitymedian $1,349 · 10th to 90th $263 to $3,802Professionalmedian $245 · 10th to 90th $141 to $1,122
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 $154.88 Median $1,905.46 Typical High $14,454.40 | Facility | None | $154.88 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $1,380.38 | Professional | None | $154.88 | $154.88 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $389.05 Typical High $977.24 | Professional | None | $125.89 | $389.05 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $457.09 Typical High $812.83 | Facility | None | $295.12 | $457.09 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $416.87 | Professional | None | $186.21 | $218.78 | $416.87 |
DeanCare Setting Facility Modifier None Typical Low $134.90 Median $2,818.38 Typical High $5,128.61 | Facility | None | $134.90 | $2,818.38 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $416.87 | Professional | None | $199.53 | $239.88 | $416.87 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $1,000.00 Typical High $1,778.28 | Facility | None | $177.83 | $1,000.00 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $446.68 Typical High $1,737.80 | Professional | None | $147.91 | $446.68 | $1,737.80 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $2,344.23 | Facility | None | $831.76 | $933.25 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $162.18 Median $269.15 Typical High $354.81 | Professional | None | $162.18 | $269.15 | $354.81 |
Prevea360 Setting Facility Modifier None Typical Low $107.15 Median $147.91 Typical High $263.03 | Facility | None | $107.15 | $147.91 | $263.03 |
Quartz Setting Professional Modifier None Typical Low $125.89 Median $263.03 Typical High $501.19 | Professional | None | $125.89 | $263.03 | $501.19 |
Quartz Setting Facility Modifier None Typical Low $398.11 Median $537.03 Typical High $1,096.48 | Facility | None | $398.11 | $537.03 | $1,096.48 |
Quartz Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $275.42 | Professional | None | $186.21 | $218.78 | $275.42 |
Security Health Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Security Health Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $870.96 | Professional | None | $562.34 | $676.08 | $870.96 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,174.90 Typical High $1,862.09 | Facility | None | $218.78 | $1,174.90 | $1,862.09 |
United Setting Professional Modifier None Typical Low $131.83 Median $229.09 Typical High $549.54 | Professional | None | $131.83 | $229.09 | $549.54 |
6 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 $77.62 Median $77.62 Typical High $691.83 | Professional | 52 · Reduced service | $77.62 | $77.62 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $275.42 | Professional | 53 · Discontinued | $30.90 | $30.90 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $117.49 Typical High $1,047.13 | Professional | 54 · Surgery only | $117.49 | $117.49 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $208.93 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $138.04 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $138.04 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $100.00 Median $117.49 Typical High $208.93 | Professional | 51 · Multiple procedures | $100.00 | $117.49 | $208.93 |
Where Wisconsin sits
The same service costs 5.1 times more in Alaska than in Utah. 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· 3rd of 51
$295
AK $501UT $97.72
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.