How much rates vary
Facilitymedian $1,660 · 10th to 90th $457 to $4,467Professionalmedian $617 · 10th to 90th $148 to $2,570
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 $104.71 Median $489.78 Typical High $14,454.40 | Facility | None | $104.71 | $489.78 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $489.78 Typical High $4,897.79 | Professional | None | $104.71 | $489.78 | $4,897.79 |
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 $218.78 Median $645.65 Typical High $2,818.38 | Professional | None | $218.78 | $645.65 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $954.99 Typical High $1,513.56 | Facility | None | $575.44 | $954.99 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $676.08 Typical High $1,348.96 | Professional | None | $147.91 | $676.08 | $1,348.96 |
DeanCare Setting Facility Modifier None Typical Low $100.00 Median $4,365.16 Typical High $7,762.47 | Facility | None | $100.00 | $4,365.16 | $7,762.47 |
DeanCare Setting Professional Modifier None Typical Low $190.55 Median $302.00 Typical High $1,148.15 | Professional | None | $190.55 | $302.00 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $1,479.11 Typical High $3,019.95 | Facility | None | $371.54 | $1,479.11 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $1,412.54 Typical High $2,290.87 | Professional | None | $524.81 | $1,412.54 | $2,290.87 |
Network Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $3,235.94 | Facility | None | $1,122.02 | $1,819.70 | $3,235.94 |
Network Health Setting Professional Modifier None Typical Low $302.00 Median $537.03 Typical High $1,905.46 | Professional | None | $302.00 | $537.03 | $1,905.46 |
Prevea360 Setting Facility Modifier None Typical Low $87.10 Median $186.21 Typical High $758.58 | Facility | None | $87.10 | $186.21 | $758.58 |
Quartz Setting Professional Modifier None Typical Low $114.82 Median $407.38 Typical High $1,258.93 | Professional | None | $114.82 | $407.38 | $1,258.93 |
Quartz Setting Facility Modifier None Typical Low $549.54 Median $758.58 Typical High $1,479.11 | Facility | None | $549.54 | $758.58 | $1,479.11 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $316.23 Typical High $691.83 | Professional | None | $147.91 | $316.23 | $691.83 |
Security Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $2,041.74 | Professional | None | $407.38 | $407.38 | $2,041.74 |
Security Health Setting Professional Modifier None Typical Low $537.03 Median $2,089.30 Typical High $3,311.31 | Professional | None | $537.03 | $2,089.30 | $3,311.31 |
United Setting Facility Modifier None Typical Low $512.86 Median $2,041.74 Typical High $3,548.13 | Facility | None | $512.86 | $2,041.74 | $3,548.13 |
United Setting Professional Modifier None Typical Low $134.90 Median $512.86 Typical High $2,187.76 | Professional | None | $134.90 | $512.86 | $2,187.76 |
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 $52.48 Median $52.48 Typical High $245.47 | Facility | 52 · Reduced service | $52.48 | $52.48 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $97.72 | Facility | 53 · Discontinued | $20.89 | $20.89 | $97.72 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $79.43 Median $79.43 Typical High $371.54 | Facility | 54 · Surgery only | $79.43 | $79.43 | $371.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $74.13 | Facility | 55 · Aftercare only | $15.85 | $15.85 | $74.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $48.98 | Facility | 56 · Pre-op care only | $10.47 | $10.47 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $245.47 Typical High $2,454.71 | Professional | 52 · Reduced service | $52.48 | $245.47 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $97.72 Typical High $977.24 | Professional | 53 · Discontinued | $20.89 | $97.72 | $977.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $371.54 Typical High $3,715.35 | Professional | 54 · Surgery only | $79.43 | $371.54 | $3,715.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $74.13 Typical High $741.31 | Professional | 55 · Aftercare only | $15.85 | $74.13 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $48.98 Typical High $489.78 | Professional | 56 · Pre-op care only | $10.47 | $48.98 | $489.78 |
Where Wisconsin sits
The same service costs 7.8 times more in Oklahoma 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
$759
OK $1,148NE $148
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.