How much rates vary
Facilitymedian $1,820 · 10th to 90th $372 to $4,365Professionalmedian $562 · 10th to 90th $195 to $1,479
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 $138.04 Median $302.00 Typical High $14,454.40 | Facility | None | $138.04 | $302.00 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $302.00 Typical High $1,737.80 | Professional | None | $138.04 | $302.00 | $1,737.80 |
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 $707.95 Typical High $1,584.89 | Professional | None | $218.78 | $707.95 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,023.29 Typical High $1,778.28 | Facility | None | $602.56 | $1,023.29 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $416.87 Typical High $812.83 | Professional | None | $194.98 | $416.87 | $812.83 |
DeanCare Setting Facility Modifier None Typical Low $165.96 Median $3,090.30 Typical High $5,370.32 | Facility | None | $165.96 | $3,090.30 | $5,370.32 |
DeanCare Setting Professional Modifier None Typical Low $245.47 Median $398.11 Typical High $707.95 | Professional | None | $245.47 | $398.11 | $707.95 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $1,479.11 Typical High $3,981.07 | Facility | None | $323.59 | $1,479.11 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $758.58 Typical High $1,380.38 | Professional | None | $257.04 | $758.58 | $1,380.38 |
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 $316.23 Median $467.74 Typical High $812.83 | Professional | None | $316.23 | $467.74 | $812.83 |
Prevea360 Setting Facility Modifier None Typical Low $112.20 Median $229.09 Typical High $489.78 | Facility | None | $112.20 | $229.09 | $489.78 |
Quartz Setting Professional Modifier None Typical Low $218.78 Median $478.63 Typical High $954.99 | Professional | None | $218.78 | $478.63 | $954.99 |
Quartz Setting Facility Modifier None Typical Low $724.44 Median $1,202.26 Typical High $1,995.26 | Facility | None | $724.44 | $1,202.26 | $1,995.26 |
Quartz Setting Professional Modifier None Typical Low $194.98 Median $363.08 Typical High $426.58 | Professional | None | $194.98 | $363.08 | $426.58 |
Security Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,202.26 | Professional | None | $537.03 | $537.03 | $1,202.26 |
Security Health Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,659.59 | Professional | None | $602.56 | $831.76 | $1,659.59 |
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 $162.18 Median $457.09 Typical High $1,174.90 | Professional | None | $162.18 | $457.09 | $1,174.90 |
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 $69.18 Median $69.18 Typical High $151.36 | Facility | 52 · Reduced service | $69.18 | $69.18 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $60.26 | Facility | 53 · Discontinued | $27.54 | $27.54 | $60.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $102.33 Median $102.33 Typical High $229.09 | Facility | 54 · Surgery only | $102.33 | $102.33 | $229.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $45.71 | Facility | 55 · Aftercare only | $20.42 | $20.42 | $45.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $30.20 | Facility | 56 · Pre-op care only | $13.80 | $13.80 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $151.36 Typical High $870.96 | Professional | 52 · Reduced service | $69.18 | $151.36 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $60.26 Typical High $346.74 | Professional | 53 · Discontinued | $27.54 | $60.26 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $229.09 Typical High $1,318.26 | Professional | 54 · Surgery only | $102.33 | $229.09 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $45.71 Typical High $263.03 | Professional | 55 · Aftercare only | $20.42 | $45.71 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $30.20 Typical High $173.78 | Professional | 56 · Pre-op care only | $13.80 | $30.20 | $173.78 |
Where Wisconsin sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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
$724
AK $776KY $182
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.