How much rates vary
Facilitymedian $2,399 · 10th to 90th $234 to $5,623Professionalmedian $251 · 10th to 90th $87 to $851
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 $70.79 Median $181.97 Typical High $14,454.40 | Facility | None | $70.79 | $181.97 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $173.78 Typical High $1,230.27 | Professional | None | $70.79 | $173.78 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $3,467.37 Typical High $6,165.95 | Facility | None | $1,202.26 | $3,467.37 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $302.00 Typical High $977.24 | Professional | None | $93.33 | $302.00 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $446.68 Typical High $1,023.29 | Facility | None | $245.47 | $446.68 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $234.42 Typical High $457.09 | Professional | None | $120.23 | $234.42 | $457.09 |
DeanCare Setting Facility Modifier None Typical Low $74.13 Median $2,630.27 Typical High $5,128.61 | Facility | None | $74.13 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $112.20 Median $229.09 Typical High $426.58 | Professional | None | $112.20 | $229.09 | $426.58 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $2,187.76 Typical High $4,365.16 | Facility | None | $190.55 | $2,187.76 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $812.83 Typical High $1,230.27 | Professional | None | $173.78 | $812.83 | $1,230.27 |
Network Health Setting Facility Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,445.44 | $2,818.38 | $4,786.30 |
Network Health Setting Professional Modifier None Typical Low $144.54 Median $263.03 Typical High $371.54 | Professional | None | $144.54 | $263.03 | $371.54 |
Prevea360 Setting Facility Modifier None Typical Low $70.79 Median $151.36 Typical High $281.84 | Facility | None | $70.79 | $151.36 | $281.84 |
Quartz Setting Professional Modifier None Typical Low $102.33 Median $275.42 Typical High $602.56 | Professional | None | $102.33 | $275.42 | $602.56 |
Quartz Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $1,288.25 | Facility | None | $239.88 | $363.08 | $1,288.25 |
Quartz Setting Professional Modifier None Typical Low $120.23 Median $190.55 Typical High $309.03 | Professional | None | $120.23 | $190.55 | $309.03 |
Security Health Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $630.96 | Professional | None | $229.09 | $229.09 | $630.96 |
Security Health Setting Professional Modifier None Typical Low $229.09 Median $371.54 Typical High $851.14 | Professional | None | $229.09 | $371.54 | $851.14 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $4,677.35 | Facility | None | $707.95 | $2,818.38 | $4,677.35 |
United Setting Professional Modifier None Typical Low $79.43 Median $190.55 Typical High $602.56 | Professional | None | $79.43 | $190.55 | $602.56 |
11 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 $35.48 Median $35.48 Typical High $91.20 | Facility | 52 · Reduced service | $35.48 | $35.48 | $91.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $36.31 | Facility | 53 · Discontinued | $14.13 | $14.13 | $36.31 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $53.70 Median $53.70 Typical High $138.04 | Facility | 54 · Surgery only | $53.70 | $53.70 | $138.04 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $27.54 | Facility | 55 · Aftercare only | $10.72 | $10.72 | $27.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $18.20 | Facility | 56 · Pre-op care only | $7.08 | $7.08 | $18.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $91.20 Typical High $630.96 | Professional | 52 · Reduced service | $35.48 | $91.20 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $36.31 Typical High $251.19 | Professional | 53 · Discontinued | $14.13 | $36.31 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $138.04 Typical High $933.25 | Professional | 54 · Surgery only | $53.70 | $138.04 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $27.54 Typical High $186.21 | Professional | 55 · Aftercare only | $10.72 | $27.54 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $18.20 Typical High $125.89 | Professional | 56 · Pre-op care only | $7.08 | $18.20 | $125.89 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $56.23 Median $114.82 Typical High $213.80 | Professional | 51 · Multiple procedures | $56.23 | $114.82 | $213.80 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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
$275
AK $309DC $83.18
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.