How much rates vary
Facilitymedian $2,570 · 10th to 90th $372 to $5,623Professionalmedian $490 · 10th to 90th $158 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 $112.20 Median $245.47 Typical High $14,454.40 | Facility | None | $112.20 | $245.47 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $245.47 Typical High $2,238.72 | Professional | None | $112.20 | $245.47 | $2,238.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $6,165.95 | Facility | None | $1,949.84 | $3,548.13 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $588.84 Typical High $1,380.38 | Professional | None | $181.97 | $588.84 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,023.29 Typical High $4,073.80 | Facility | None | $489.78 | $1,023.29 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $346.74 Typical High $676.08 | Professional | None | $158.49 | $346.74 | $676.08 |
DeanCare Setting Facility Modifier None Typical Low $107.15 Median $2,630.27 Typical High $5,128.61 | Facility | None | $107.15 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $575.44 | Professional | None | $199.53 | $281.84 | $575.44 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $1,548.82 Typical High $4,786.30 | Facility | None | $323.59 | $1,548.82 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $707.95 Typical High $1,584.89 | Professional | None | $213.80 | $707.95 | $1,584.89 |
Network Health Setting Facility Modifier None Typical Low $891.25 Median $1,819.70 Typical High $3,235.94 | Facility | None | $891.25 | $1,819.70 | $3,235.94 |
Network Health Setting Professional Modifier None Typical Low $77.62 Median $380.19 Typical High $831.76 | Professional | None | $77.62 | $380.19 | $831.76 |
Prevea360 Setting Facility Modifier None Typical Low $91.20 Median $173.78 Typical High $380.19 | Facility | None | $91.20 | $173.78 | $380.19 |
Quartz Setting Professional Modifier None Typical Low $181.97 Median $363.08 Typical High $812.83 | Professional | None | $181.97 | $363.08 | $812.83 |
Quartz Setting Facility Modifier None Typical Low $630.96 Median $2,884.03 Typical High $4,466.84 | Facility | None | $630.96 | $2,884.03 | $4,466.84 |
Quartz Setting Professional Modifier None Typical Low $158.49 Median $295.12 Typical High $346.74 | Professional | None | $158.49 | $295.12 | $346.74 |
Security Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $1,023.29 | Professional | None | $436.52 | $436.52 | $1,023.29 |
Security Health Setting Professional Modifier None Typical Low $489.78 Median $676.08 Typical High $1,445.44 | Professional | None | $489.78 | $676.08 | $1,445.44 |
United Setting Facility Modifier None Typical Low $512.86 Median $2,238.72 Typical High $3,630.78 | Facility | None | $512.86 | $2,238.72 | $3,630.78 |
United Setting Professional Modifier None Typical Low $144.54 Median $389.05 Typical High $977.24 | Professional | None | $144.54 | $389.05 | $977.24 |
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 $56.23 Median $56.23 Typical High $123.03 | Facility | 52 · Reduced service | $56.23 | $56.23 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $50.12 | Facility | 53 · Discontinued | $22.39 | $22.39 | $50.12 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $83.18 Median $83.18 Typical High $186.21 | Facility | 54 · Surgery only | $83.18 | $83.18 | $186.21 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $37.15 | Facility | 55 · Aftercare only | $16.60 | $16.60 | $37.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $24.55 | Facility | 56 · Pre-op care only | $11.22 | $11.22 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $123.03 Typical High $1,122.02 | Professional | 52 · Reduced service | $56.23 | $123.03 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $50.12 Typical High $446.68 | Professional | 53 · Discontinued | $22.39 | $50.12 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $186.21 Typical High $1,659.59 | Professional | 54 · Surgery only | $83.18 | $186.21 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $37.15 Typical High $338.84 | Professional | 55 · Aftercare only | $16.60 | $37.15 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $24.55 Typical High $223.87 | Professional | 56 · Pre-op care only | $11.22 | $24.55 | $223.87 |
Where Wisconsin sits
The same service costs 4.1 times more in Alaska than in Nebraska. 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· 2nd of 51
$631
AK $646NE $158
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.