How much rates vary
Facilitymedian $1,514 · 10th to 90th $257 to $4,467Professionalmedian $219 · 10th to 90th $123 to $891
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 $144.54 Median $3,090.30 Typical High $14,454.40 | Facility | None | $144.54 | $3,090.30 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $2,884.03 | Professional | None | $123.03 | $144.54 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,445.44 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $346.74 Typical High $794.33 | Professional | None | $109.65 | $346.74 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $457.09 Typical High $1,071.52 | Facility | None | $281.84 | $457.09 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $204.17 Typical High $380.19 | Professional | None | $154.88 | $204.17 | $380.19 |
DeanCare Setting Facility Modifier None Typical Low $125.89 Median $5,128.61 Typical High $9,332.54 | Facility | None | $125.89 | $5,128.61 | $9,332.54 |
DeanCare Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $363.08 | Professional | None | $186.21 | $218.78 | $363.08 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $1,000.00 Typical High $1,778.28 | Facility | None | $154.88 | $1,000.00 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $407.38 Typical High $891.25 | Professional | None | $125.89 | $407.38 | $891.25 |
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 $147.91 Median $223.87 Typical High $309.03 | Professional | None | $147.91 | $223.87 | $309.03 |
Prevea360 Setting Facility Modifier None Typical Low $97.72 Median $125.89 Typical High $223.87 | Facility | None | $97.72 | $125.89 | $223.87 |
Quartz Setting Professional Modifier None Typical Low $97.72 Median $199.53 Typical High $457.09 | Professional | None | $97.72 | $199.53 | $457.09 |
Quartz Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $1,479.11 | Facility | None | $398.11 | $616.60 | $1,479.11 |
Quartz Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $245.47 | Professional | None | $169.82 | $204.17 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Security Health Setting Professional Modifier None Typical Low $436.52 Median $549.54 Typical High $776.25 | Professional | None | $436.52 | $549.54 | $776.25 |
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 $107.15 Median $177.83 Typical High $501.19 | Professional | None | $107.15 | $177.83 | $501.19 |
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 $61.66 Median $72.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $61.66 | $72.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.84 Typical High $575.44 | Professional | 53 · Discontinued | $24.55 | $28.84 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $107.15 Typical High $2,137.96 | Professional | 54 · Surgery only | $93.33 | $107.15 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $21.38 Typical High $426.58 | Professional | 55 · Aftercare only | $18.62 | $21.38 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $14.45 Typical High $288.40 | Professional | 56 · Pre-op care only | $12.30 | $14.45 | $288.40 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $93.33 Median $109.65 Typical High $181.97 | Professional | 51 · Multiple procedures | $93.33 | $109.65 | $181.97 |
Where Wisconsin sits
The same service costs 4.8 times more in Alaska 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· 3rd of 51
$269
AK $427FL $89.13
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.