How much rates vary
Facilitymedian $1,000 · 10th to 90th $102 to $2,344Professionalmedian $251 · 10th to 90th $85 to $603
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 $70.79 Median $114.82 Typical High $14,454.40 | Facility | None | $70.79 | $114.82 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $114.82 Typical High $1,071.52 | Professional | None | $70.79 | $114.82 | $1,071.52 |
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 $87.10 Median $302.00 Typical High $645.65 | Professional | None | $87.10 | $302.00 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $263.03 Typical High $1,071.52 | Facility | None | $229.09 | $263.03 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $169.82 Typical High $316.23 | Professional | None | $100.00 | $169.82 | $316.23 |
DeanCare Setting Facility Modifier None Typical Low $61.66 Median $7,244.36 Typical High $14,454.40 | Facility | None | $61.66 | $7,244.36 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $125.89 Median $173.78 Typical High $263.03 | Professional | None | $125.89 | $173.78 | $263.03 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $812.83 Typical High $1,778.28 | Facility | None | $104.71 | $812.83 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $316.23 Typical High $478.63 | Professional | None | $112.20 | $316.23 | $478.63 |
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 $125.89 Median $218.78 Typical High $309.03 | Professional | None | $125.89 | $218.78 | $309.03 |
Prevea360 Setting Facility Modifier None Typical Low $57.54 Median $95.50 Typical High $162.18 | Facility | None | $57.54 | $95.50 | $162.18 |
Quartz Setting Professional Modifier None Typical Low $95.50 Median $194.98 Typical High $363.08 | Professional | None | $95.50 | $194.98 | $363.08 |
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 $100.00 Median $158.49 Typical High $186.21 | Professional | None | $100.00 | $158.49 | $186.21 |
Security Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $446.68 | Professional | None | $281.84 | $281.84 | $446.68 |
Security Health Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $602.56 | Professional | None | $309.03 | $426.58 | $602.56 |
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 $83.18 Median $234.42 Typical High $457.09 | Professional | None | $83.18 | $234.42 | $457.09 |
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 $35.48 Median $35.48 Typical High $57.54 | Facility | 52 · Reduced service | $35.48 | $35.48 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $22.91 | Facility | 53 · Discontinued | $14.13 | $14.13 | $22.91 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $52.48 Median $52.48 Typical High $87.10 | Facility | 54 · Surgery only | $52.48 | $52.48 | $87.10 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.47 Median $10.47 Typical High $17.38 | Facility | 55 · Aftercare only | $10.47 | $10.47 | $17.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $11.48 | Facility | 56 · Pre-op care only | $7.08 | $7.08 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $57.54 Typical High $537.03 | Professional | 52 · Reduced service | $35.48 | $57.54 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $22.91 Typical High $213.80 | Professional | 53 · Discontinued | $14.13 | $22.91 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $87.10 Typical High $794.33 | Professional | 54 · Surgery only | $52.48 | $87.10 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $17.38 Typical High $162.18 | Professional | 55 · Aftercare only | $10.47 | $17.38 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $11.48 Typical High $107.15 | Professional | 56 · Pre-op care only | $7.08 | $11.48 | $107.15 |
Where Wisconsin sits
The same service costs 3.7 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
$282
WI $282FL $75.86
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.