How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,148 to $11,220Professionalmedian $2,188 · 10th to 90th $589 to $8,710
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 $416.87 Median $1,621.81 Typical High $14,454.40 | Facility | None | $416.87 | $1,621.81 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $1,621.81 Typical High $8,912.51 | Professional | None | $416.87 | $1,621.81 | $8,912.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $8,317.64 Typical High $11,481.54 | Facility | None | $5,011.87 | $8,317.64 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $2,454.71 Typical High $9,120.11 | Professional | None | $794.33 | $2,454.71 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $3,715.35 Typical High $5,888.44 | Facility | None | $1,023.29 | $3,715.35 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $2,041.74 Typical High $4,466.84 | Professional | None | $549.54 | $2,041.74 | $4,466.84 |
DeanCare Setting Facility Modifier None Typical Low $398.11 Median $7,413.10 Typical High $14,454.40 | Facility | None | $398.11 | $7,413.10 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $741.31 Median $1,174.90 Typical High $3,715.35 | Professional | None | $741.31 | $1,174.90 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $4,073.80 Typical High $11,481.54 | Facility | None | $741.31 | $4,073.80 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $4,786.30 Typical High $7,585.78 | Professional | None | $1,659.59 | $4,786.30 | $7,585.78 |
Network Health Setting Facility Modifier None Typical Low $2,691.53 Median $7,762.47 Typical High $9,120.11 | Facility | None | $2,691.53 | $7,762.47 | $9,120.11 |
Network Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $5,623.41 | Professional | None | $1,047.13 | $1,778.28 | $5,623.41 |
Prevea360 Setting Facility Modifier None Typical Low $346.74 Median $724.44 Typical High $2,511.89 | Facility | None | $346.74 | $724.44 | $2,511.89 |
Quartz Setting Professional Modifier None Typical Low $691.83 Median $1,479.11 Typical High $5,370.32 | Professional | None | $691.83 | $1,479.11 | $5,370.32 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $3,981.07 Typical High $6,025.60 | Facility | None | $812.83 | $3,981.07 | $6,025.60 |
Quartz Setting Professional Modifier None Typical Low $549.54 Median $1,096.48 Typical High $2,089.30 | Professional | None | $549.54 | $1,096.48 | $2,089.30 |
Security Health Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $6,918.31 | Professional | None | $1,659.59 | $1,659.59 | $6,918.31 |
Security Health Setting Professional Modifier None Typical Low $1,862.09 Median $6,456.54 Typical High $10,000.00 | Professional | None | $1,862.09 | $6,456.54 | $10,000.00 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $6,456.54 Typical High $11,481.54 | Facility | None | $1,318.26 | $6,456.54 | $11,481.54 |
United Setting Professional Modifier None Typical Low $512.86 Median $1,862.09 Typical High $6,606.93 | Professional | None | $512.86 | $1,862.09 | $6,606.93 |
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 $208.93 Median $208.93 Typical High $812.83 | Facility | 52 · Reduced service | $208.93 | $208.93 | $812.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $323.59 | Facility | 53 · Discontinued | $83.18 | $83.18 | $323.59 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $1,202.26 | Facility | 54 · Surgery only | $316.23 | $316.23 | $1,202.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $239.88 | Facility | 55 · Aftercare only | $63.10 | $63.10 | $239.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $162.18 | Facility | 56 · Pre-op care only | $41.69 | $41.69 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $812.83 Typical High $4,466.84 | Professional | 52 · Reduced service | $208.93 | $812.83 | $4,466.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $323.59 Typical High $1,778.28 | Professional | 53 · Discontinued | $83.18 | $323.59 | $1,778.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $1,202.26 Typical High $6,606.93 | Professional | 54 · Surgery only | $316.23 | $1,202.26 | $6,606.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $239.88 Typical High $1,348.96 | Professional | 55 · Aftercare only | $63.10 | $239.88 | $1,348.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $162.18 Typical High $891.25 | Professional | 56 · Pre-op care only | $41.69 | $162.18 | $891.25 |
Where Wisconsin sits
The same service costs 5.1 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
$2,884
AK $3,020NE $589
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.