How much rates vary
Facilitymedian $1,175 · 10th to 90th $229 to $2,344Professionalmedian $617 · 10th to 90th $229 to $1,318
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 $229.09 Median $1,905.46 Typical High $14,454.40 | Facility | None | $229.09 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $2,089.30 | Professional | None | $229.09 | $229.09 | $2,089.30 |
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 $208.93 Median $707.95 Typical High $1,412.54 | Professional | None | $208.93 | $707.95 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $912.01 | Facility | None | $446.68 | $501.19 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $537.03 Typical High $954.99 | Professional | None | $323.59 | $537.03 | $954.99 |
DeanCare Setting Facility Modifier None Typical Low $204.17 Median $2,818.38 Typical High $5,128.61 | Facility | None | $204.17 | $2,818.38 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $602.56 | Professional | None | $371.54 | $457.09 | $602.56 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $912.01 Typical High $1,778.28 | Facility | None | $190.55 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $616.60 Typical High $1,023.29 | Professional | None | $223.87 | $616.60 | $1,023.29 |
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 $251.19 Median $436.52 Typical High $588.84 | Professional | None | $251.19 | $436.52 | $588.84 |
Prevea360 Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $380.19 | Facility | None | $158.49 | $218.78 | $380.19 |
Quartz Setting Professional Modifier None Typical Low $177.83 Median $407.38 Typical High $794.33 | Professional | None | $177.83 | $407.38 | $794.33 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $1,479.11 Typical High $2,691.53 | Facility | None | $812.83 | $1,479.11 | $2,691.53 |
Quartz Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $398.11 | Professional | None | $323.59 | $323.59 | $398.11 |
Security Health Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Security Health Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,288.25 | Professional | None | $831.76 | $1,122.02 | $1,288.25 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,202.26 Typical High $1,862.09 | Facility | None | $218.78 | $1,202.26 | $1,862.09 |
United Setting Professional Modifier None Typical Low $208.93 Median $630.96 Typical High $1,000.00 | Professional | None | $208.93 | $630.96 | $1,000.00 |
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 $114.82 Median $114.82 Typical High $1,047.13 | Professional | 52 · Reduced service | $114.82 | $114.82 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $416.87 | Professional | 53 · Discontinued | $45.71 | $45.71 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $173.78 Typical High $1,548.82 | Professional | 54 · Surgery only | $173.78 | $173.78 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $309.03 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $208.93 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $208.93 |
Where Wisconsin sits
The same service costs 11.4 times more in Utah 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.
Physician feeFacility fee
UT $3,214FL $282
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.