How much rates vary
Facilitymedian $5,129 · 10th to 90th $912 to $9,120Professionalmedian $724 · 10th to 90th $389 to $2,818
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 $389.05 Median $3,090.30 Typical High $14,454.40 | Facility | None | $389.05 | $3,090.30 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $389.05 Typical High $4,677.35 | Professional | None | $371.54 | $389.05 | $4,677.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $7,585.78 Typical High $11,481.54 | Facility | None | $5,011.87 | $7,585.78 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $1,202.26 Typical High $2,754.23 | Professional | None | $380.19 | $1,202.26 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,380.38 Typical High $2,238.72 | Facility | None | $891.25 | $1,380.38 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $660.69 Typical High $1,479.11 | Professional | None | $512.86 | $660.69 | $1,479.11 |
DeanCare Setting Facility Modifier None Typical Low $407.38 Median $3,162.28 Typical High $5,888.44 | Facility | None | $407.38 | $3,162.28 | $5,888.44 |
DeanCare Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $1,202.26 | Professional | None | $602.56 | $724.44 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $3,388.44 Typical High $8,317.64 | Facility | None | $707.95 | $3,388.44 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $1,412.54 Typical High $2,818.38 | Professional | None | $457.09 | $1,412.54 | $2,818.38 |
Network Health Setting Facility Modifier None Typical Low $1,737.80 Median $5,754.40 Typical High $7,762.47 | Facility | None | $1,737.80 | $5,754.40 | $7,762.47 |
Network Health Setting Professional Modifier None Typical Low $489.78 Median $954.99 Typical High $1,230.27 | Professional | None | $489.78 | $954.99 | $1,230.27 |
Prevea360 Setting Facility Modifier None Typical Low $380.19 Median $524.81 Typical High $707.95 | Facility | None | $380.19 | $524.81 | $707.95 |
Quartz Setting Professional Modifier None Typical Low $346.74 Median $707.95 Typical High $1,513.56 | Professional | None | $346.74 | $707.95 | $1,513.56 |
Quartz Setting Facility Modifier None Typical Low $724.44 Median $1,621.81 Typical High $2,570.40 | Facility | None | $724.44 | $1,621.81 | $2,570.40 |
Quartz Setting Professional Modifier None Typical Low $575.44 Median $660.69 Typical High $812.83 | Professional | None | $575.44 | $660.69 | $812.83 |
Security Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Security Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,584.89 Typical High $1,949.84 | Professional | None | $1,202.26 | $1,584.89 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $4,786.30 Typical High $8,709.64 | Facility | None | $1,071.52 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $371.54 Median $660.69 Typical High $1,621.81 | Professional | None | $371.54 | $660.69 | $1,621.81 |
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 $186.21 Median $194.98 Typical High $2,344.23 | Professional | 52 · Reduced service | $186.21 | $194.98 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $77.62 Typical High $933.25 | Professional | 53 · Discontinued | $74.13 | $77.62 | $933.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $288.40 Typical High $3,548.13 | Professional | 54 · Surgery only | $281.84 | $288.40 | $3,548.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $57.54 Typical High $707.95 | Professional | 55 · Aftercare only | $56.23 | $57.54 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $38.90 Typical High $467.74 | Professional | 56 · Pre-op care only | $37.15 | $38.90 | $467.74 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $354.81 Typical High $602.56 | Professional | 51 · Multiple procedures | $302.00 | $354.81 | $602.56 |
Where Wisconsin sits
The same service costs 4.8 times more in Alaska than in Utah. 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
$955
AK $1,413UT $295
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.